Tag: Claims Processing

CPT license

FAQs: Do you need a CPT license to use CPT codes

The CPT license to use CPT codes is required for accessing the CPT code set, which is developed and maintained by the AMA as the standard medical language for reporting procedures and services in the US. This system is used by both public and private health insurance programs. CPT codes are also used for administrative […]
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Decode & Deploy: Latest Strategies in Medical Billing

It’s time to embrace the ever-evolving landscape of medical billing with Decode & Deploy! In this issue, we’ll explore cutting-edge methods for streamlining billing processes and optimizing revenue cycles including medical billing strategies. Billing in the Medical Industry: An Evolving Landscape Technology advancements, regulatory changes, and a growing focus on value-based care are driving the […]
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Revenue Cycle Challenges

How Healthcare Leaders Are Conquering Revenue Cycle Challenges

Ideally, revenue cycle processes should flow seamlessly from one stage to the next. However, challenges can arise at any point, from the front end to the back end, requiring leaders to be vigilant and strategic in their efforts. Here are some highlighting executive approaches to various revenue cycle challenges: How Healthcare Services Revamped Their Billing […]
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Improve-RCM

Boost Your Bottom Line: 4 Keys to Healthcare RCM Success

In 2024, factors like declining reimbursement rates, the shift towards value-based care, and ever-changing regulations demand a proactive approach to improve RCM. Here, we explore four key strategies to optimize your healthcare revenue cycle and ensure financial stability in the coming year. 1. Break down Silos: Merging Front-End and Back-End Functions Many healthcare organizations struggle […]
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5 Ways to Reduce Claims Denial in Your Revenue Cycle

Reduce Claims Denial in Your Revenue Cycle

Claims Denial: Healthcare Leaders report an increase in payer denials, putting increasing pressure on the system’s finances. Going back and forth with denied payers is a long and expensive process, and low reimbursement rates don’t help either. In a new survey conducted by the Healthcare Financial Management Association, CFOs noted a significant increase in denials, […]
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pivotal-role-of-interoperability-in-medical-billing

Medical billing and interoperability

Interoperability role in medical billing: A growing number of physicians practice in an interconnected world, which means that medical practices and hospitals need to seamlessly share information in order to be able to provide good health management and ensure that patients are treated safely and effectively. Health care interoperability is an important concept that has […]
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Rules for Coding Emergency Department

CMS Rules for Coding Emergency Department Claims | Best Practices

The Centers for Medicare and Medicaid Services (CMS) has consistently authorized hospitals to establish and utilize their own coding guidelines for emergency department facility claims. CMS makes clear that “[a]s long as the services furnished are documented and medically necessary and the facility is following its own system, which reasonably relates the intensity of hospital […]
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Top-Advantages-of-Automated-Medical-Claim-Processing

Top Advantages of Automated Medical Claim Processing

With the arise of indirect health practices such as telehealth, it is becoming increasingly indispensable to play with bill payments and claims orderly. The medical billing cycle is a complex system encompassing procedures such as medical recordkeeping and patient data processing. Medical claim processing is the keystone for healthcare insurance companies since it needs data […]
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