Denials of claims continue to waste time and money in the US healthcare system. About 15% of claims submitted to private insurance companies are first rejected. Hospitals […]
Clean-Claim Checklist: 25 Pre-Submit Checks Your Team Can Use Today
Currently browsing: Medical Billing
AI in Medical Billing: Hype vs. Real Gains in 2025
Artificial intelligence has emerged as one of the most widely discussed technologies in healthcare. As AI is growing, payers, vendors, and providers are questioning whether it will […]
Top 9 Essential Components of the Medical Billing Workflow
The success of any medical practice is dependent not only on outstanding service but also on accurate invoicing. A well-structured system leads to accurate claims, faster reimbursements, […]
Key KPIs Every Healthcare CFO Should Track in Billing Dashboards
In the current healthcare environment, financial visibility is no longer negotiable. Understanding billing performance has a direct impact on cash flow and long-term stability for both small […]
Streamline Healthcare Billing with the Insurance Eligibility Verification Process
Denied claims are a recurring and expensive issue that frequently occurs from a single point, the initial insurance verification and patient registration procedure. Inaccurate or out-of-date insurance […]
Does Your Billing Portal Match Your Clinic’s Complexity?
Today’s healthcare landscape is diverse. Clinics vary greatly in size, specialties, and services. This means a billing portal for clinics isn’t a one-size-fits-all solution. It should reflect […]
How to Simplify Patient Billing for High-Deductible Plans
High-deductible health plans (HDHPs) are now common – roughly half of U.S. workers in private plans carry an HDHP. While these plans lower premiums, they shift more […]
The 6 Challenges Unique to Behavioural Health Billing (And Solutions)
Behavioral health practices, treating conditions like depression, anxiety, addiction, and other mental health disorders, face billing complexities beyond typical medical specialties. Unlike standard medical services, behavioral health […]
How to Keep Up With CPT/HCPCS Updates Without Slowing Down Claims
Healthcare billing relies on up-to-date CPT and HCPCS codes. These code sets are constantly revised to reflect new medical procedures, devices, and technologies. As the AMA notes, […]
5 Ways a $200K Audit Strategy Can Recover 10X in Lost Claims
Healthcare providers often leave a surprising portion of revenue on the table through avoidable billing errors and denied or underpaid claims. Industry analyses estimate U.S. hospitals lose […]
Smart Healthcare IT Budgeting: From $1M to $10M+
This executive-grade guide helps enterprise buyers avoid common mistakes and allocate spending wisely.
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