Rejected Or Denied: Everything To Achieve Improved Clean Claims

REJECTED OR DENIED INSURANCE CLAIMS

Claim rejection or denial causes trouble for both practices and the patients. Staff who are involved in generating revenue for their practices may be tasked with claim and denial management and improving clean claims.

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Top 7 Essential Components Of The Medical Billing Workflow

Essential components of the medical billing workflow

As we speak of better and efficient medical billing in healthcare, managing and moving patients through every visit while assembling data for the submission of claims and collecting the outstanding balances of patients, the components of the medical billing workflow work precisely its duty.

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Top 7 Effective Ways To Collect Patient Balances Quickly

Collect Patient Balances In & Effective Ways

We are in a high-end world with upgrading technologies and sky-rocketing prices. Especially healthcare industry is facing a constant increase in costs which could make everyone depending on it step back and think. This also makes patient balance collection a tough one.

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The Top 8 Challenges Of Healthcare RCM In 2022

Healthcare Revenue Cycle Management

You might think what do finances have to do with healthcare management? A lot. In a healthcare facility, the clinical treatment has a lot of complex procedures involved and if you aren’t careful about them, you will have to face issues that might be too much to take.

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EHR Implementation In Billing: Everything You Need To Know

EHR Implementation In Medical BIlling

In this digitally driven world, treating patients isn’t that much complicated for physicians. But this sometimes depends on the medical history of patients in case of emergencies.

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Medical Billing Audit: Everything You Need To Know

MEDICAL BILLING AUDIT

Conducting regular medical billing audits is essential for a practice to find the level of effectiveness and efficiency they have when it comes to claims. The importance of billing audits has not declined in the healthcare sector even with the forced transition to ICD-10 CODING in the past.

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Manage Unexpected Medical Bills: A Guide With Steps

A Complete Guide To Manage Unexpected Medical Bills

We have to pay for the medical services received by us every time right? Usually, if we are properly insured, our insurance company does that work for us.

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Advanced Guide To Automated Claim Processing In Healthcare

Automated Claim Processing In Healthcare

With virtual health practices like telehealth are coming up, it is becoming more critical to manage bill payments and claims to process systematically. The medical billing cycle is a complex system consisting of processes, including medical records management, patient data management, etc.

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3 Smart Ways To Improve Days In Accounts Receivable

accounts receivable

As practices look for ways to improve their financial health, one of the quickest ways to make an impact is ensuring the organization gets paid for the services they provide with no delays. By looking closely at days in accounts receivable (A/R) and taking the appropriate steps to improve that metric, practices can bolster their bottom line in 2021, while also setting the stage for a stronger business in the long term.

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The Quick Guide To Provider Credentialing: How It Works?

The Quick Guide To Provider Credentialing

As provider credentialing is considered to be an important step for achieveing effective revenue cycle management, this article explains you about how provider credentialing works and what are the primary phases involved in it.

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Medical Auditing: 4 Best Practices To Follow

Are you ready to boost your practice revenue? Conducting regular medical billing audit will be very beneficial for your healthcare practice. In this article, we share with you the 4 best practices for medical auditing to ultimately improve your practice revenue in 2021.

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8 Cool Metrics For Evaluating Your Medical Billing & Coding Process

8 Cool Metrics For Evaluating Your Medical Billing & Coding Process
8 Cool Metrics For Evaluating Your Medical Billing & Coding Process

Medical billing and coding remain to be the hot topic for all healthcare providers. Of course, they wish to automate and make revenue cycle workflow more intelligent which helps them to focus on keeping their patients healthy and happy. How to achieve this?

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Automated Patient Eligibility Checks: Why It Matters?

Automated Patient Eligibility Checks: Why It Matters?

Verifying patient eligibility is incredibly important for today’s healthcare practices. The manual verification process will be complex and time-consuming. Your front office staff needs to spend too much of their time tracking down payer information and eligibility. So, the right solution providers need in today’s tech world is automated patient eligibility verification to better help their patients in the medical billing process. Here is why automated eligibility check is important and how it benefits healthcare practices.

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Impact Of AI In Medical Billing And Coding

Impact Of AI In Medical Billing And Coding
Impact Of AI In Medical Billing And Coding

The future of medical billing and coding in the age of artificial intelligence will be really surprising. Do you have any idea about how AI will impact your practice revenue cycle? In this article, we explain to you the real benefits of the impact of AI in today’s medical billing system. 

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Optimizing Your Claim Denial Management Process

When discussing successful healthcare claim management, it is very important to build an effective system that manages rejected claims at initial. Of course, all healthcare organizations get worried if their medical claims get denied.  The only solution to overcome these issues is to initiate an efficient medical claims denial management process.

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Top 4 Super Effective Types Of Medical Audit

Top 4 Super Effective Types Of Medical Audit
Top 4 Super Effective Types Of Medical Audit

Healthcare auditing plays a major role in improving the quality of care delivered to patients. Also, it helps healthcare organizations to remain up to date with the requirements and regulations. In the year 2021, quality healthcare audits are equally important for payers, patients, and providers.

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Master Your Claim Submission Process in 7 Easy Steps

Claim Submission Process
Claim Submission Process

Have you ever tracked the percentage of claims that get paid successfully at first submission? To be successful with the medical billing process, the claims have to be monitored & revised, the reason for denials have to be correctly identified, and necessary action to be taken before getting started with the process. Here is all about claim submission in medical billing and steps to achieve clean claim rates.

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How To Instantly Rebuild Your Patient Volume?

How To Instantly Rebuild Your Patient Volume?
How To Instantly Rebuild Your Patient Volume?

Since the beginning of COVID-19, US healthcare organizations saw a huge decrease in patient volume. Most of the patients canceled follow-up visits, preventive care, scheduled appointments, and refuse to visit directly to the clinic. Even though healthcare providers are adopted quality digital technology to improve patient engagement, the growing healthcare marketing trends are more important. Here are the best ways which explain how to instantly rebuild patient volume in 2021.

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How To Reduce Accounts Receivable (AR) Days In Healthcare?

Outstanding accounts receivable in healthcare are one of the most critical issues that the healthcare industry faces today. Organizations are often seeking the right answers to reduce their receivables for over 30 days and also the way to prevent them from happening in the first place. Here are the best tips to reduce AR days in healthcare.

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Beginner’s Guide: How To Streamline Prior Authorization In 2021?

How To Streamline Prior Authorization In 2021?
How To Streamline Prior Authorization In 2021?

Streamlining the prior authorization process could be a game-changing factor in healthcare 2021 which ultimately transforms the overall patient outcomes.  Based on the survey conducted by American Medical Association with 1000 physicians, nearly 64% of physicians reported they face long wait times (one business day) for payers to decide on prior authorization which negatively impacts the patient outcomes.

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