Optimizing Revenue During Deductible Season
Weโre in the middle of deductible season: The time of year when most insurance plans reset deductibles back to $0 and in the meantime, patients are responsible for the full contracted rate of their sessions until they have finally met their set amounts.ย So, what exactly does this mean to your practice? Deductible season lasts typically […]
How can you effectively review your revenue cycle process?
An efficient revenue cycle process is the financial lifeline of any healthcare practice. It encompasses everything from patient registration to the final payment of a balance. In today’s rapidly evolving healthcare landscape, itโs crucial for medical practices to periodically review and refine this process. An effective review can identify inefficiencies, streamline operations, and ultimately lead […]
Primary Care billing and coding guidelines
Healthcare is a complex and rapidly evolving field, and one of the most critical elements for any smoothly functioning medical practice is primary care billing and coding. These are the processes vital for making sure that services, treatments, and more are all billed accurately and efficiently, and have a direct impact on both revenue and […]
What are the main reasons for medical billing claims being denied?
Navigating the complexities of medical billing claims is a significant challenge for many small and mid-sized healthcare providers. Among these challenges, claim denials stand out as a particularly frustrating issue, often leading to delays in reimbursement and financial strain. These denials not only affect the financial health of medical practices but also impact patient satisfaction […]
What is the impact of medical coding on the revenue cycle?
The world of healthcare is incomprehensibly complex, and the core need of medical coding is a critical component. Medical coding is often seen as the backbone of revenue cycle management, and this process of translating complex medical procedures, diagnoses, and equipment into universal codes is more than just administrative work, itโs one of the most […]
How do medical billing companies work?
Medical billing is a critical component in the healthcare industry, bridging the gap between healthcare providers and insurance companies. It’s a process that ensures medical professionals are compensated for their services. However, as with any rapid-evolving industry, the various complexities and nuances involved can pose challenges for many medical practices, leading to delayed or denied […]
What do medical billing and coding do?
The processes of medical billing and coding are critical to the healthcare industry, but there are still countless people who wonder what do medical billing and coding do. The job actually requires a substantial blend of medical knowledge, technical skills, and attention to detail, and it helps make sure that healthcare providers are paid accurately […]
The Importance of Proper Coding
Those who work in the medical field have a significant amount of responsibility. Not only the doctors and nurses who treat you but also the coding and billing professionals that work behind the scenes on paperwork and medical records. There are countless medical regulations and processes that go into medical coding, and it is crucial […]
Professional Claims vs. Facility Claims
Are you looking to get into the medical billing career field? Then itโs important that you know what that job will entail based on the type of facility youโre working for. There are clear differences between billing between healthcare and other industries within the medical field. The processing of medical claims across varying facility types […]
What is Prior Authorization?
Prior authorization, or PA, is a requirement for certain medications and treatments. Before you can receive the care you need, your insurance company may need to grant approval first. Sometimes the process is handled before you get to the pharmacy, while other times you may be told you have to wait for your insurance provider […]