A lot is going on in the revenue cycle industry. Process Automation, COVID-19, Telehealth, Cloud Tech, changing regulations and more. Stay updated with this newsletter from Medical Billing Wholesalers.
Claim denials, a chief cause of revenue loss to healthcare practices, are rising across payer types. Learn more on the effective ways to address Clinical and Coding Denials.
Verification of eligibility promotes the collection of the coverage status and reduces the likelihood of claims getting denied. It enables healthcare providers to collect payments from patients proactively and prevents delays in cash realization. Get insights that the information insurance companies will need and insurance verification elements from this article.
Intelligent automation and workflow automation technologies enable your revenue cycle operations to be focused and succeed. We also employ productivity improvement tools powered by robotic process automation tools and efficient business intelligence tools to help you stay on top of the collections you deliver to your practice clients. Learn how a clear view of the revenue cycle performance metrics can help you make informed decisions.
Medical Coding has a significant impact on revenue cycle performance, so taking the time to analyze your coding department is indeed mandatory. In this blog we look at how Medical Coding analytics by facility or provider can help you identify critical clinical documentation issues that can help you improve coding quality.
Medical Codes and Terminologies are two essential things that a Clinician must learn. The Medical codes define the diagnoses, treatment, procedures, and medication used through the alphanumeric ICD-10 Coding System. In this article, we provide you with a view of the specialty-specific coding guidelines and terminologies for Physical Therapy and Podiatry.
Healthcare providers focus on delivering high-quality care while the revenue cycle team manages the reimbursements. Hiring high-quality resources is essential and can be challenging as the nation faces an unprecedented labor shortage. Learn more on how outsourcing accounts receivable and denial management processes to a seasoned outsourced revenue cycle services provider can minimize revenue loss and improve financial outcomes.
A typical offshore medical billing services provider utilizes college graduates as against school pass-outs being utilized onshore. Access to a higher quality labor pool changes the paradigm from transactional efficiency to business outcomes such as collections. This article discusses how an offshore medical billing company workforce is trained on multiple billing software resulting in better efficiency.
The massive shortage of qualified RCM staff and lack of investments in technology and automation are putting a lot of stress on the revenue cycle employees of Hospitals, healthcare systems, and physician practices. Navigating this complex maze can be tedious, and a strategic partner can help. This article discusses the issues caused by a labor shortage and how outsourcing can provide the answers.
Physicians/providers must credential themselves, i.e., enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. The credentialing process validates that a physician meets standards for delivering clinical care, wherein the Payer verifies the physician’s education, license, experience, certifications, affiliations, malpractice, any adverse clinical occurrences, and training.
Physician credentialing is the process of obtaining, verifying, and assessing the qualifications of a medical practitioner to be able to provide medical services. Credentials are documented evidence of licensure, education, training, experience, or other qualifications of the medical practitioner. Click on the link below to learn more.
Medical Coding has a significant impact on revenue cycle performance, so taking the time to analyze your coding department is indeed mandatory. In this blog we look at how Medical Coding analytics by facility or provider can help you identify critical clinical documentation issues that can help you improve coding quality.
Tech, investments, efficiency, patient experience, underpayment recovery, and coding automation are some of the themes that will drive the revenue cycle market momentum in 2022 and beyond. This paper discusses some of the RCM trends happening in 2022
For medical practices, the practice management software is their lifeline. It helps them, register patients, manage appointments, contract with payers, submit claims, and obtain reimbursements for their services. Learn more on the top 7 Practice Management Software
Key performance indicators (KPIs) are a critical part of managing the operation and profitability of our businesses. Change in the inward-facing performance mindset leads to improved management, reflected in client results. Learn how consistent monitoring will keep you ahead of operational issues and put you in the best position to retain clients
Medical Coding has a significant impact on revenue cycle performance, so taking the time to analyze your coding department is indeed mandatory. In this blog we look at how Medical Coding analytics by facility or provider can help you identify critical clinical documentation issues that can help you improve coding quality.
Explore strategies deployed by revenue cycle CFOs to tackle labor shortages. Learn how to optimize filing and follow-up processes for improved cash flow in healthcare administration.
Our revenue cycle analytics services empower you to gauge your performance and take steps to improve all aspects of your medical billing processes. Our process teams work with you to initiate and execute comprehensive process changes to improve your revenue cycle outcomes.
Discover effective denial prevention strategies for revenue cycle optimization. Learn how to shift focus from denial management to proactive prevention with insights from Medical Billing Wholesalers' whitepaper
Emergency medicine is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. The ER is a medical treatment facility specializing in emergency medicine. It requires close coordination of services from when a patient enters an ambulance or an ED facility to discharge, working with multiple clinical practitioners. Learn more by clicking on the link below to download the best practices guide for ED coding.
Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Learn more about the 4 reasons for claim denials in Physical Therapy and ways to rectify them by clicking on the button below.
