Explore the top challenges in healthcare credentialing that can impact service delivery and compliance. This guide identifies 9 key obstacles and provides expert insights and solutions to navigate the complex credentialing landscape effectively.

Navigating 2024's Strategies for DME Success with Modifiers and Durable Medical Equipment. Achieve mastery in billing accuracy and revenue optimization. Streamline operations with expert guidance. Contact us today to unlock your practice's full potential.

Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.

Most companies struggle with the emotional outsourcing decision that changes the status quo. When you eventually make the outsourcing decision, you must tread with caution. You rely on your partner to deliver the financial and clinical outcomes you value the most.

Discover how the Front-End Revenue Cycle serves as the cornerstone of financial success and an improved patient experience in healthcare. Learn about trends and strategies for optimizing patient registration, scheduling, and insurance processes.

DRG-based reimbursement (Diagnosis-Related Group), plays a pivotal role in determining the payment healthcare facilities receive for treating Medicare patients. While the primary diagnosis code identifies the main reason for hospitalization, the significance of secondary DX codes in the DRG-based reimbursement process cannot be overstated.

The Florida Legislature recently amended the Florida Electronic Health Records Exchange Act to prohibit certain healthcare providers utilizing certified electronic health record technologies from storing qualified electronic health records outside of the United States, its territories, or Canada.

DME billing involves submitting and processing claims for durable medical equipment, and outsourcing DME billing services can help healthcare professionals streamline the process, minimize denials, and ensure accurate reimbursement.

ABA (Applied Behavior Analysis) therapy billing refers to the process of submitting insurance claims for reimbursement of ABA therapy services provided to clients. ABA therapy billing is a complex process that requires a high level of attention to detail and a deep understanding of insurance and reimbursement policies.

Discover effective strategies for revenue cycle optimization in your medical billing company. Learn how to improve operational efficiencies and profitability with insights from Medical Billing Wholesalers' blog.

With headwinds of cost increases, reducing reimbursement rates, and declining patient visits, Physician practices must refocus on operational efficiencies to achieve profits sustainably. Revenue cycle KPIs are essential in measuring your Practice's performance and guide on improving.

The offshore-onshore relay race refers to the collaboration between the onshore operations of your medical billing company or in-house RCM team and offshore providers of revenue cycle services across processes such as medical billing, medical coding, patient access, accounts receivable, and denial management.

Process rigor is essential in revenue cycle transformation because it helps ensure the accuracy, consistency, and efficiency of the revenue cycle processes. A lack of process rigor can result in errors, duplications, and delays that can negatively impact the financial performance of an organization.

An efficient and effective physician credentialing process can help ensure compliance, quality of care, and financial stability while supporting the overall success of the revenue cycle in the healthcare organization.

Staffing shortages affect employee morale, delay patient care, and cause clinician burnout. With the rising inflation, care cost is also increasing significantly. Click here to learn more.

Outsourcing and offshoring the Medical Coding process can give you access to certified coders, reduce denials, improve reimbursements, and plug revenue leakage. Healthcare providers and revenue cycle aggregators must choose the right service providers to improve the coding quality and achieve market-leading outcomes.

Cardiology coding requires the knowledge of catheter-based techniques to diagnose and treat coronary artery disease and congenital heart defects. Click here to download cardiology coding guidelines & best practices.

Reducing reimbursement rates, increasing infrastructure costs, and shifts in payer mix create challenges for radiology practices. Download this guide on Radiology Best Practices to learn more.

Oncology coding requires the knowledge of medical treatment, surgical treatment, snd radiation therapy, and they should be well versed with these areas. Download this guide on Oncology Best Practices to learn more.

Urology surgery coding requires training & knowledge as the coders have to keep up with thousands of yearly changes made to the ICD & CPT systems. Despite the frequent changes, few guidelines have remained consistent and continue to serve as key urology surgery & radiology coding rules. Download this guide for more information on urology surgery & radiology coding guidelines.