Top 10 Steps to an Efficient Healthcare Revenue Cycle Management Flowchart
Your Complete Guide to a High-performing RCM process! In the rapidly evolving healthcare, efficiency is no longer optional – it’s a lifeline. Hospitals, doctor groups, and speciality practices are under increasing pressure to provide high-quality care while sustaining financial viability. And at the centre of that balance lies one powerful system: Healthcare Revenue Cycle Management […]
Time to Automate Your Denied Claims
As healthcare resumes its steady shift toward value-based care, providers are facing mounting pressure to control an increasing number of claim denials. Multiple organisations are now questioning whether their existing method, often heavily manual. It can keep pace with these growing demands. According to a recent HIMSS Analytics survey, nearly one-third of healthcare providers still […]
5-Step Checklist For A Successful EHR Implementation
The transition to Electronic Health Records (EHRs) represents a major milestone for any clinical practice seeking to advance its operations. As the healthcare industry shifts towards digital documentation and data-driven decision-making, EHR systems have become important tools for improving efficiency, enhancing patient outcomes, and confirming the continuity of care. Significantly, an EHR replaces traditional paper […]
3 Negligence and Malpractice Traps in Medical Billing
In the healthcare sector, malpractice is a severe and intense challenge. This concern can lead to adverse effects. It is not only caused by medical treatment, but can also be caused by the billing system. The medical billing system plays an important role. A minor mistake can lead to severe issues, like loss of money […]
What is POS in Medical Billing? Understanding Its Role, Codes, and Financial Impact
If you work in medical billing or control documentation for a healthcare practice, you likely use place of services (POS) codes thousands of times – generally without much thought. Those little two-digit numbers, like POS 11 (office) or POS 10 (telehealth), seem like simple administrative needs. But in reality, POS codes play a major role […]
Medical Billing Audit Services USA
In today’s fast-evolving healthcare landscape, medical practices face rising pressure to balance quality patient care with effective billing and compliance. One powerful strategy to meet this challenge head-on is a medical billing audit service in the USA – a comprehensive, systematic review of billing practices, documentation, and revenue cycles. At our company, we specialize in […]
How to Determine Primary vs. Secondary Insurance?
When an individual has more than one insurance plan. You must determine which one of them is paid first, either Secondary one or Primary one. This is very important because it will help you to transmit the bill in the proper sequence, which results in the quick processing of payments, and the patients do not […]
10 Credentialing Mistakes That Delay Your Reimbursements
Credentialing is the way of delivering care and getting paid. When these gateways jam, everything stalls: providers can not bill, patients face scheduling concerns, and organizations take an immediate financial hit. The exhausted part? Most credentialling delays are rooted in small, avoidable errors – details that get overlooked but end up adding weeks or even […]
Which Brands of Diabetic Supplies Does Medicare Cover?
Managing diabetes is never simple – and it becomes even more stressful when you are unsure whether Medicare will pay for the supplies you rely on every day. That’s why individuals, caregivers, and healthcare providers need to know exactly which diabetic supply brands Medicare covers. Utilizing non-covered products can lead to surprise out-of-pocket prices, denied […]
How Long Does It Take To Get Credentialed With Insurance Companies & Why?
For healthcare providers, obtaining credentialing with an insurance organization is a crucial step toward joining payer networks and receiving reimbursement for facilities. However, while the process is important, it is not a rapid one. Let’s find out How Long it takes to Get Credentialed With Insurance Companies & why? The majority of people can expect […]