The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic claims management transactions—such as eligibility verification, claim submissions, and claim status inquiries—has reached or surpassed 80% for many transaction types. However, significant gaps remain in […]
The healthcare industry is evolving at a rapid pace, with technological advancements, regulatory changes, and an increasing focus on patient care reshaping the operational landscape. One of the most significant trends emerging in this transformation is the growing reliance on outsourcing in medical billing. As we step into 2025, it is evident that outsourcing is […]
For any medical practice, the timely reimbursement of claims is essential to maintaining a healthy cash flow and sustaining operations. The moment your practice submits a claim to the payer, the countdown begins until you receive the actual payment. Delays in reimbursement can strain your revenue cycle, affect financial stability, and even impact patient care. […]
The healthcare landscape continues to evolve rapidly, and 2024 will witness a number of significant healthcare billing regulatory changes that will impact medical billing practices. From updates to code standards to new regulatory compliance requirements, it is crucial for healthcare providers, medical billing companies, and RCM professionals to stay informed and proactive. The goal of […]