Tag: Medical Billing Services

Common coding mistakes and how AI is resolving them

How Medical Coding Mistakes Cost You Money

The administrative burden of accurate medical coding is a major contributor to physician burnout—a challenge exacerbated by the COVID-19 pandemic. Studies consistently rank coding-related stress as one of the top concerns for healthcare providers. Medical Coding Mistakes, whether due to oversight or complexity, can have severe financial repercussions for medical practices. Denied claims, reduced reimbursements, […]
Learn More
Why Healthcare Providers Need Medical Claim Clearinghouses

Why Healthcare Providers Need Medical Claim Clearinghouses

Medical claim clearinghouses enhance the efficiency of claim submissions for healthcare providers, thereby reducing costs and improving payment accuracy. Each year, healthcare payers and providers exchange billions of claims to finalize patient encounters, a number that continues to rise. As claim volumes increase annually (except for a dip in 2021 due to the COVID-19 pandemic), […]
Learn More
Streamline Billing and Boost Revenue with Efficient Payment Posting

Streamline Billing and Boost Revenue with Efficient Payment Posting

While revenue cycle management (RCM) involves many steps, payment posting processes often gets overlooked. Optimizing this process acts as the cornerstone for smoother billing, reducing administrative burdens, and uncovering new revenue streams. By providing a clear view of daily income, accurate payment posting helps practices proactively address errors that could otherwise complicate medical billing and […]
Learn More

Medical Coding Audits: Trends and Guide for Providers

The landscape of medical coding audits is constantly evolving.  Staying informed about these trends and implementing best practices can significantly reduce stress and ensure a smooth audit experience. The Shifting Landscape of Medical Coding Audits Traditionally, medical coding audits felt like a lottery. Providers faced the uncertainty of random reviews, often scrambling to address issues […]
Learn More
Navigating Outsourcing Vs Offshoring in Medical Billing: Explained

Navigating Outsourcing Vs Offshoring in Medical Billing: Explained

Outsourcing Vs Offshoring in Medical Billing: Targeting Cost Savings with a Global Reach: Both medical billing outsourcing and offshoring involve delegating billing tasks to another entity, but there’s a key difference in their destination: Medical Billing Outsourcing: In general outsourcing, the Medical Billing company can be located anywhere. It could be in the same state, […]
Learn More
How Charge Capture Audits Boost Your Healthcare Revenue

How Charge Capture Audits Boost Your Healthcare Revenue

The healthcare industry holds hidden potential for improved revenue and streamlined operations. Charge capture audits act as your key to unlock these hidden treasures. Similar to explorers seeking buried riches, healthcare organizations can embark on a quest for financial stability through these audits. This guide will explain charge capture audits, help you identify hidden opportunities, […]
Learn More
How AI is streamlining medical billing and coding processes

How AI is streamlining medical billing and coding processes

Coding and medical billing with AI: Billing and coding processes in the healthcare industry are notoriously complex. The manual entry of data, the interpretation of physician notes, and maintaining compliance with ever-changing regulations all contribute to a system that is ripe for inefficiency and error. Healthcare providers and patients can save time, money, and frustration […]
Learn More
How Prior Authorization Transformation Benefits Patients, Providers and  Payers

How Prior Authorization Transformation Benefits Patients, Providers and  Payers

Prior authorization transformation of consent is a source of worry and concern for everyone involved: patients, members, providers, and payers. What was needed was a structure to coordinate all stakeholders and organize the program. In January 2024, the Centers for Medicare and Medicaid Services (CMS) finalized requirements to expedite the authorization process; this requirement will […]
Learn More
x