Tag: medical claims

Medicare Billing Rule Updates

Medicare Billing Rule Updates: A Comprehensive Guide

The healthcare industry is in constant flux, and staying abreast of the latest Medicare billing rule updates is paramount for healthcare providers. As we navigate 2025, several significant changes have come into effect, impacting reimbursement, telehealth services, care delivery models, and compliance requirements. This blog post aims to provide a comprehensive overview of these updates […]
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5 More Reasons Claims Are Denied

Overlooked Reasons Medical Claims Are Denied – And How Allzone Solves Them

Claim denials remain one of the biggest challenges healthcare providers face when it comes to maintaining consistent revenue and smooth operations. While some common causes like incomplete documentation and incorrect patient information are well-known, there are still many lesser-known or overlooked reasons medical claims get denied. In this article, we’ll explore five more reasons why […]
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Reducing Claim Denials

Mastering Healthcare Claim Denial Management: Strategies & Solutions

In healthcare, claim denials pose a significant challenge to a provider’s revenue cycle. Each year, over $4.5 trillion in claims are submitted to insurance carriers in the U.S. alone. Despite this volume, healthcare providers continue to see an alarming rise in denied claims. In 2022, 42% of respondents reported an increase in denials, but by […]
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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 […]
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Navigating E&M Code Changes

Navigating E&M Code Changes

It is expected that the Centers for Medicare & Medicaid Services (CMS) will release a completely revamped version of the evaluation and management (E&M) codes by 2021, particularly for the office visit codes (999201-99205 and 99211-99215). In addition to the changes to the office visit codes, there were significant changes to the 2023 guidelines. These […]
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Unveiling the Advantages of Claim Scrubbing

Unveiling the Advantages of Claim Scrubbing

Claim scrubbing enables the potential for increased accuracy in claims, enhanced client relationships, and improved patient interactions. Claim scrubbing is the process of identifying and rectifying coding errors in medical claims prior to their submission to insurance providers. Whether conducted manually or through automated systems, claim scrubbers validate medical claims before they are sent to […]
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Enhancing Payment Integrity With AI To Eliminate Surprise Bills

Enhancing Payment Integrity With AI To Eliminate Surprise Bills

It’s common for people to feel surprised by the cost of hospital, medical imaging, or outpatient surgery bills. Unfortunately, it’s difficult for them to verify whether the bill is accurate or not. This is because incorrect medical bills have become increasingly common. To address this issue, organizations are turning to technologies such as artificial intelligence […]
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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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