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 […]
The world of medical billing and accounts receivable (AR) can feel like a labyrinth for healthcare providers. Lost in a maze of codes, claims, and denials, it’s easy to see revenue slip through the cracks. But fear not! Here’s our guide to mastering AR and ensuring your practice thrives. Medical Billing & Accounts Receivable Medical […]
Embrace the Denial Management Makeover and discover how to improve cash flow, streamline billing, and finally conquer denied claims. There are few things worse than denies for any healthcare provider. They disrupt patient care, but they also add to their financial burden. Denied claims mean lost revenue, impacting your cash flow and making it hard […]
Here are some steps to guide you through the process of appealing a denied health insurance claim: 1. Understand the Reason for Denial Review the Denial Letter: Carefully read the denial letter from your insurance company. It should explain why your claim was denied and how you can appeal the decision. Check you’re Policy: Refer […]
The field of medical Specialties, with its cutting-edge technology and intricate procedures, presents a unique environment for radiology RCM. While it offers the potential for significant success, navigating the RCM landscape in radiology requires a keen understanding of the industry’s specific challenges. This includes navigating the complexities of billing and coding, keeping pace with evolving […]
The US health care system, one of the best in the world, with qualified doctors trained in world medical schools, faces a major flaw: reduce medical errors, which cause about 1 in 1 10 Americans died and cost the country $20 billion age. Almost 2 out of 3 of these errors are based on poor […]
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 […]
The Prime Minister’s recent voluntary national survey shed light on the Denied claims. The survey, conducted between October and December 2023, found that nearly 15% of all Medicare Advantage, Medicaid, Commercial and Managed Medicaid claims were denied. Between 45% and 60% of rejected cases were overturned, although the expensive appeals process sometimes meant multiple appeals. […]
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 […]
Today, in a highly competitive business landscape, it is crucial to maximize collections if you want to maintain sustainable growth. Despite the fact that you may think you’ve squeezed every last dime out of your current revenue streams, it’s often the case that there’s hidden potential waiting to be tapped. You will find in this […]