A Complete Checklist For Insurance Eligibility Verification

Insurance Eligibility Verification

The process of Insurance Eligibility Verification is crucial to ensure denials due to missed or incorrect information are under control. There can be several reasons for claim denial or rejection but researches have proved not having an effective Insurance Eligibility Verification is the major reason for most denials and claim rejections comparatively. Let us discuss the complete checklist for Insurance Eligibility Verification to make it more efficient and streamlined to improve the overall billing experience.

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Provider Credentialing Services – Exponential Growth In Revenue

Provider Credentialing Services

Provider Credentialing is indispensable for any Medical Practice/Group. Delay and missed Physician Credentialing directly affect the financial aspect of the Provider and the practice. Employing Credentialed Providers also sets your standard high, increasing your integrity and making your practice the first choice for patient care. Let us look in detail, how Provider Credentialing can help the growth of your business financially.

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A Complete Guide To Improve Revenue Cycle Management

Revenue Cycle Management
A Complete Guide To Improve Revenue Cycle Management

Revenue Cycle Management (RCM) is not just merely handling your Medical Billing and coding, it gets deeper into streamlining your work process by focused attention towards achieving revenue goals. RCM also aims towards identifying revenue leakage points to fix them at once. However, having an efficient Revenue Cycle Management System is crucial to witness targeted results. This article is aimed to guide you to improve your Revenue Cycle Management.

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Simple Strategies to Boost Billing Efficiency Post- COVID

Medical Billing Companies

The consequence of COVID and the on- going pandemic has been catastrophic across every sector! Medical Billing has had its own share of cataclysmic upheaval. While we await the denouement of this disastrous viral attack, it is also important to prepare to boost the downtrodden areas, especially the ones that got affected during this massive and extended COVID-19 pandemic. Let us look into various strategies to cope up and boost our Medical Billing efficiency.

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How Artificial Intelligence (AI) Will Impact Dental Billing?

Dental Billing Services

With the COVID 19 cases rising drastically and anticipated growth curve in the pandemic, Dental Billing and coding and Dentists are the most affected comparatively due to the nature of the procedure. Dental Procedures are considered as one of the high-risk services to the patient as well as for the Provider. During the 2020 pandemic, Dental Practices and related services were completely shut down.  Not to mention the financial crisis and the socio-economic impact they had to sustain.

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How To Do Quality Checks In Revenue Cycle Management?

Revenue Cycle Management
How To Do Quality Checks In Revenue Cycle Management?

Revenue Cycle Management

Revenue Cycle Management (RCM)for Medical Billing involves various scopes of the process to be handled by billing and coding departments, which means each claim is handled and worked on by different members of the billing team causing risk of Claim errors if not handled efficiently through each scope of services leading to a delayed or denied claim. Therefore quality checks at each scope of services are crucial to curb issues down the line. Always remember getting a claim reimbursed at first submission is easier than working on appeals for denial which usually takes longer and more AR Follow-ups

There are several areas to be looked into when evaluating Qualitative measures for Revenue Cycle Management, listed below are a few that can help. Continue reading “How To Do Quality Checks In Revenue Cycle Management?”

Common Billing Mistakes That Drive Down ASC Revenue Cycle

ASC Billing
Common Billing Mistakes That Drive Down ASC Revenue Cycle

Ambulatory Surgical Centers (ASC) have to abide by certain rules and regulations under CMS and Medicare to ensure they are reimbursed. ASC is not a separate specialty of medical services. ASC’s provide services to various medical specialty-based procedures like minor surgery, Colonoscopy, Biopsy, Cataract surgery, Arthroscopy, Ambulance Services, Implantation of Durable Medical Equipment, Prosthetic Devices and some Physician Billing Services are performed in ASC. However, the services are billed on claim form CMS 1500.

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How to Avoid Credentialing Pitfalls To Improve Your Revenue?

How to Avoid Credentialing Pitfalls To Improve Your Revenue

Physician credentialing is the process of enrolling a physician with the insurance company to ensure the physician is privileged to provide services to the patients and get their claims processed with that particular payer. Physician Credentialing is essential for the physicians to be “In-Network” with various government and commercial insurance companies which can help increase patient referrals and overall revenue. Let us look in detail on how to avoid Credentialing Pitfalls from impacting your revenue.

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How Outsourced Medical Billing Can Help Cope With COVID-19 Challenges?

Outsourcing Medical Billing
How Outsourced Medical billing can help cope with COVID-19 Challenges

COVID-19 has affected all sectors of business and industries, with its effects resuming back to normal Medical Billing has its own share of challenges and most of them are considering outsourcing as an option to overcome the on-going effects and increase revenue with a stress-free billing process. Let us look into detail on how Outsourcing Revenue Cycle Management can help Medical Billing with the current challenges.

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