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Adopting Patient Centered Billing for Patient Retention

When any patient comes to you for medical services, his primary concern is getting health needs addressed. The last thing he wants to deal with is navigating the complicated process of medical billing...

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Increasing Your Practice Collections

In today’s competitive healthcare space maintaining a healthy practice, revenue is a challenging task. Things became much more complicated in the global corona pandemic as you were already dealing with...

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Maintaining Financial Health of Your Family Practice

Rising operational costs, changed payer policies, decreasing reimbursement, and increased compliances adversely affect financial health of family practice. In addition, operational inefficiencies and...

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Benefits of Outsourcing Chiropractic Billing Services

Running a chiropractic practice is no easy task. Chiropractic treatments usually take longer and require frequent visitations, as a result of which focusing on the other related tasks becomes quite...

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Challenges to Radiology Medical Billing

Radiology medical billing has its own set of challenges. Unlike the rest of medical billing specialties, radiology billing has two components i.e., the professional component and the technical...

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Improve Orthopedic Collection Process

Orthopedic practice owners are struggling to maintain the financial stability of their practice. There are many reasons for this struggle as expenses aren’t declining while reimbursement from payers...

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Why You Should Outsource to a Medical Billing Company?

Most practice owners are hesitant to outsource their medical billing and coding functions. Practice owners are familiar with basic medical billing and coding functions and try to do everything on their...

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Systematically Reduce Your Accounts Receivable

Accounts receivable management plays a key role in having stable financial health for your practice. Accounts receivable is nothing but the amount owe to you by insurance companies and patients. As the...

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Improving Your Pain Management Collection

American Academy of Pain Medicine estimates that over 100 million people suffer from acute or chronic pain, which equates to 20.4% or 1 in 5 adults. This number is far more than the number of patients...

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Urgent Care Billing Challenges Amongst COVID-19 Pandemic

Urgent care billing and coding is more challenging than other primary care medical billing and coding. Various payer reimbursement policies, frequent coding changes, and high deductible health plans...

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How to File a Medicare Appeal?

When a healthcare provider wishes to appeal a denied Medicare claim (Fee-for-Service), Medicare offers five levels in Part A and Part B appeals process. Five levels areas: First Level: MAC...

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Guidelines to Submit a Clean Claim

Defining Clean Claim  A clean claim is a submitted claim without any errors or other issues, including incomplete documentation that causes claim rejections or denials. As per the definition of a clean...

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Boosting Patient Responsibility Collection

One of the biggest challenges for healthcare providers is boosting patient responsibility collection. Due to lower monthly premiums, more individuals are choosing plans with higher deductibles and more...

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How to Improve Back-office Revenue Cycle Functions?

Back-office revenue cycle functions include claim submission, payment posting, denials handling & resolution, accounts receivable follow-up, and others. All these functions must be taken care of by...

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Reducing AR Days in Healthcare

Streamlined revenue cycle operations ensure the financial stability and growth of your practice. When the healthcare revenue cycle is not managed well, collection efficiency drops, and accounts...

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Telehealth Billing Guidelines for Gastroenterologists

During COVID-19 public health emergency (COVID-19 PHE), CMS expanded the scope of telehealth/ telemedicine services. In this blog, we shared telehealth billing guidelines that are applicable only for...

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Busting Common Medical Billing Myths

Medical billing is the most important yet underestimated part of your healthcare organization’s revenue cycle. However, there are a few things that are commonly believed about them that just aren’t...

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Understand Ophthalmological Diagnostic Testing

CPT manual section ‘Special Ophthalmological Services’ describes diagnostic tests that go beyond eye exams. These tests may be reported in addition to the general ophthalmological services or...

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Improving Ambulatory Surgical Center (ASC) Collections

With patients having more financial responsibility for their healthcare, outpatient settings like ambulatory surgery centers are becoming more attractive to patients. A research report from Bain &...

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Implementing Preventive Denial Management

According to the denial rates report published in February 2021, out of total claims submitted worth $3 trillion, claims worth $262 billion were denied. You will be surprised to know that more than 90%...

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