Read our latest medical billing and RCM related blogs

Improving Point-of-Service (POS) Patient Collections

Improving Point-of-Service (POS) Patient Collections

Increased Patient Financial Responsibility In the current healthcare climate, more and more patients are opting for high-deductible healthcare plans resulting in increased patient financial responsibility. Due to high deductible healthcare plans patients has to make large out-of-pocket payments to receive treatment. Few years before physician facilities, and hospitals were not that dependent on patient portions […]

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Eligibility Verification: Most Neglected Process of RCM

Eligibility Verification: Most Neglected Process of RCM

What is Eligibility and Benefits Verification? To receive payments for the services rendered, healthcare providers need to verify each patient’s eligibility and benefits before the patient’s visit. According to RemitData, two of the top five claim denial reasons for the year 2013 were insurance coverage related. With more patients choosing high deductible plans, this figure […]

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Reducing AR Days in Healthcare

Reducing AR Days in Healthcare

Streamlined revenue cycle operations ensure the financial stability and growth of your practice. When the healthcare revenue cycle is not managed well, collection efficiency drops, and accounts receivable (AR) days increase. Accounts receivable is at the heart of revenue cycle management, as you get paid faster which results in healthier operations. Streamlining the healthcare revenue […]

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How to Improve Back-office Revenue Cycle Functions?

How to improve Back-office Revenue Cycle Functions?

Back-office revenue cycle functions include claim submission, payment posting, denials handling & resolution, accounts receivable follow-up, and others. All these functions must be taken care of by billing experts to ensure accurate practice collection. Providers have to spend a lot of time on these back-office functions due to high employee turnover, billing and coding updates, changes […]

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Increasing Your Practice Collections

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In today’s competitive healthcare space maintaining a healthy practice, and revenue is a challenging task. Things became much more complicated in the global corona pandemic as you were already dealing with the administrative burden and rising operating costs and trying to keep your practice profitable. Strategies which will help you in increasing your practice collections: […]

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How to make successful Accountable Care Organization?

How to make a successful Accountable Care Organization?

Value-based care is gaining more popularity in the US healthcare system and Accountable care organizations (ACOs) provide the main push for the healthcare industry away from fee-for-service towards value-based care. ACO is a very interesting model for care where groups of doctors, hospitals, and other health care providers voluntarily offer coordinated, high-quality care to patients. […]

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What Providers can do to Prevent Claims from being Denied or Rejected?

What Providers can do to Prevent Claims from being Denied or Rejected?

Every healthcare provider has a complicated relationship with payers. Healthcare providers are busy in providing treatment to patients and they spend much time with patients and many of the time payers deny payments for the services provided. Providers can prevent claims denials and can ease the denial management that does not come so easy to […]

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How to Boost A/R Productivity for Success of Revenue Cycle during Pandemic?

how-to-boost-a-r-productivity-for-success-of-revenue-cycle-during-pandemic

Are you thinking that revenue flow is interrupted due to high accounts receivable? Of course, you need to boost A/R productivity for the Success of Revenue Cycle but you aren’t the only healthcare professional to face revenue loss but you can make a difference particularly during the pandemic. Insurance companies are obliged to pay healthcare […]

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What Is The Prior Authorization Process?

What Is The Prior Authorization Process?

The prior authorization process is seeking “approval from a health plan that may be required before you get a service or fill a prescription for the service or prescription to be covered by your plan”. What is Authorization in Medical Billing? Authorization in medical billing refers to the process of obtaining approval from a patient’s health […]

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Efficient RCM Process is the Key to Provider Success in 2021

efficient-rcm-process-is-the-key-to-provider-success-in-2021

To overcome the financial impact of pandemic, providers need to measure and focus on an efficient RCM process to get success in 2021. COVID-19 pandemic has a severe impact on the healthcare industry, caused healthcare providers to depend on efficient RCM process to maintain financial stability in 2021 and henceforth. What is RCM Process? Revenue […]

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