Ayaz Sharif

Need Help In Choosing The Best Reimbursement Model For Your Practice? Lets schedule a free 1:1 billing consultation with me right now! “Reimbursement”. It’s a fancy ten-dollar word for plain old payment. But in healthcare, it means everything. Reimbursement in the medical world translates into a provider or healthcare facility collecting payments from the big […]

Schedule Free Billing Consultancy! Need help with billing? Let’s talk. An Explanation of Benefits (EOB) is equally important for patients and providers. It helps identify billing errors in claims and enables providers to fix them to avoid claim denials. EOBs improve the overall effectiveness of billing and patient communication in medical practices. The healthcare providers […]

In the world of healthcare billing, two key terms often come up: institutional claims and professional claims. Now, some bills are for the doctor’s service (professional), while others are for the hospital itself (institutional) explaining who’s charging for what – the doctor or the hospital. Knowing the difference between these two is crucial for both […]

One in seven of all claims are denied amounting to 200 million rejections each day. And out of these, 27% of denials are due to issues with patient registration and eligibility for the medical claim. Now, the average denial management costs a minimum of $25 per claim denial. Thereby, creating cash flow issues for practices’ […]

Investigating issues like claim denial and the slow payment process is necessary to ensure your practice operates effectively. Your billing procedure is one of the elements of your practice that needs to run smoothly. Medical billing reports are crucial for tracking and fixing billing process issues. They can provide essential details regarding payments, claims, and […]

The Medicare Outpatient Code Editor or OCE is a software that looks for mistakes in coding when processing bills from outpatient hospitals. It also ensures that all outpatient claims sent to Medicare adhere to the relevant coding guidelines. As outpatient claims enter the system, the OCE systematically checks for compliance with the following NCCI edits: […]

Medical claims include codes for different key entities involved like the patient, provider, and billing service. An “entity code rejection” happens when one of these codes is invalid. This could be because it’s missing, expired, or simply incorrect. For example, if the patient’s ID code is outdated or the provider’s NPI number is wrong, the […]

Effective claims payment optimization is essential for healthcare providers to assure financial stability, simplify revenue cycle management, and improve operational efficiency. Effective solutions can help providers increase cash flow, reduce administrative work, and optimize reimbursements. This blog post will discuss the claims payment optimization process to ensure that patient services run without a hitch. Why […]

Medical billing documentation ensures that healthcare providers receive timely and accurate service payments. The documentation is the foundation for the billing process, providing a clear record of the patient’s medical history, diagnoses, and treatments. This blog will discuss the role of clear and concise documentation in medical billing and how it is improving documentation practices. […]

Consider that your practice’s cash flow is impacted for whatever reason, whether it is due to recent regulatory enforcement or not. You are receiving the appropriate payments. It’s time to look at the issues keeping your cash flow from being fully used and causing you to fall short of your profit targets. Several factors influence […]