How an effective WFM tool can save millions of dollars of AR in Medical Billing

Wednesday, October 19, 2016 8:06
Posted in category Account receivables
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e-care workforce management tool

Changing Payment Methods:

At this time of US healthcare evolving into different payment methods and moving from traditional Fee for Service payments, it is important for billing companies to ensure that their end clients get paid all their claims either by insurance payments or patients to maximize their revenue and reduce write off of unpaid claims due to passing appeal limit and timely filing limits.

On the other hand, Billing companies also need to ensure that every claim is paid the correct amount as per the Fee Schedule, Contracted rate, UCR etc. and are not underpaid. Underpayments and failure to appeal on underpayments cause significant revenue loss to providers.

In order to achieve the above, a very strong Accounts Read the rest of this entry »

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Medicare Revalidation process for Providers and Suppliers

Friday, August 12, 2016 10:02
Posted in category Credentialing services
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Medicare Revalidation process for Providers and Suppliers

 

CMS has defined time frame for providers and suppliers to send their re-validation application to the Medicare Administrative Contractors (MAC) to be in compliance with provider enrollment requirements. The due dates generally fall on the last day of the month, for example, 30th June, 31st July which is determined based on the last successful re-validation or initial enrollment date. Read the rest of this entry »

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How does Health Insurance Impact your Tax this Year?

Friday, March 13, 2015 5:44
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How does Health Insurance Impact your Tax this Year

 

The ’Individual Mandate’, one of the Affordable Care Act reforms, has been the hot topic in the US healthcare space lately. This policy has made buying health insurance mandatory for those people who are uninsured. The ultimate goal of this policy is to promote a healthier nation; however there is downside to it. Read the rest of this entry »

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Preventative Healthcare Gets Its Importance In Obamacare

Monday, December 22, 2014 5:08
Posted in category Obamacare
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‘Prevention is better than cure’ – Recognizing the truth in this adage, ‘Obamacare’ has brought in the preventative healthcare services to create a healthy tomorrow. Heart disease, stroke, cancer, chronic low respiratory disease and accidental injuries are considered as the five main causes for the increased mortality rate in the US. Read the rest of this entry »

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CMS’ Health Surveys to strengthen PQRS

Wednesday, December 10, 2014 10:55
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Consumer Assessment of Healthcare Providers and Systems:

This is a survey developed by CMS, to gain feedback from patients and their relatives about experiences with and ratings of their healthcare providers and plans. The survey includes hospitals, home health agencies, Doctors (single and groups), and health drug plans.  The survey results are publicly shared by CMS, so Providers may have an impact due to ratings, because it is the feedback of the patients. Read the rest of this entry »

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Ebola Scare in the US!

Wednesday, October 29, 2014 5:57
Posted in category Medical Billing
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The growing panic among the US citizens over the Ebola virus has become the recent buzz in the country. The US Centers for Disease Control and Prevention (CDC, Atlanta) has estimated that by August 2014, approximately 68 Ebola scares were handled by US healthcare facilities and state labs. The numbers have doubled and tripled in the months of September and October. The latest news is that the deadly virus could reach Britain and France by the end of this month (October). The approximate number of people infected so far by this rapidly spreading virus is 7,200. Let us take a look at when and where it all started and how scientists and healthcare workers are struggling to contain a full-fledged outbreak: Read the rest of this entry »

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Why is India a Better Offshore Destination?

Monday, March 24, 2014 6:31
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Why is India a Better Offshore Destination

 

Lately, outsourcing medical billing has become a common practice in the US healthcare domain. To streamline the medical billing activities of a customer, US medical billing companies partner with offshore medical billing companies located in various countries, including India. Read the rest of this entry »

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It is Insurance Eligibility Verification time!

Friday, February 28, 2014 7:45
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It is Insurance Eligibility Verification time

 

The effort taken by most healthcare entities in minimizing claim denials has become remarkable in the recent times. They pay more attention in documenting patient demographics, entering ICD & CPT codes, updating current charges, performing regular AR follow-up and more. However, their claims still get denied by the Payer. Read the rest of this entry »

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Pros and Cons of Offshore Medical Billing

Monday, February 17, 2014 5:46
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We all know that Healthcare Providers are trying their best to sustain their practice, especially after the  new healthcare reforms. It is the same scenario with US based healthcare outsourcing companies as well. Since their end-clients are facing the changes, the healthcare outsourcing companies also face the same concerns. Read the rest of this entry »

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Benefits of ERAs/EFTs

Friday, February 7, 2014 10:11
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Benefits of ERA and EFT

 

The introduction of ERAs (Electronic Remittance Advice) and EFTs (Electronic Funds Transfer) created a revolutionary change in the healthcare billing domain by replacing traditional, paper-based EOBs (Explanation of Benefits). Read the rest of this entry »

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