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Top Strategies to Reduce Claim Denials in Healthcare Revenue Cycle Management

In the complex landscape of healthcare revenue cycle management, claim denials remain one of the most significant obstacles to maintaining healthy cash flow and financial stability. Understanding how to effectively manage and reduce claim denials is crucial for healthcare organizations aiming to optimize their revenue cycle performance and ensure sustainable growth. Understanding the Impact of […]
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Why Credentialing Is Critical for Medical Practices & How to Get It Right

In the complex world of healthcare, credentialing often operates behind the scenes—yet it’s one of the most critical processes that directly impacts your practice’s ability to operate, get paid, and maintain patient trust. Whether you’re opening a new medical practice or adding providers to an existing one, understanding credentialing and executing it correctly can mean […]
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How Professional Medical Billing Services Improve Healthcare Revenue Cycle Management

In today’s complex healthcare landscape, efficient revenue cycle management (RCM) is crucial for the financial health of medical practices. Professional medical billing services have become an indispensable solution for healthcare providers looking to optimize their revenue streams while focusing on patient care. This comprehensive guide explores how expert medical billing services can transform your healthcare […]
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How To Achieve Medical Practice Revenue Growth (15+ Proven Strategies)

…CONTENT ABOVE… FAQs What is medical billing? Medical billing is the process of submitting and following up on claims with health insurers to receive payment for services. At ProcareMedEx, our medical billing services help providers maximize reimbursements. What is revenue cycle management (RCM)? Revenue cycle management is the end-to-end financial process from patient registration to […]
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Medicare Incident-to Billing Guidelines & Meaning

Understanding billing rules and regulations is essential for healthcare providers to bill accordingly after services are provided to patients. Sometimes, providers might not be aware of many benefits, such as incident-to-billing, which allows them to get 100% reimbursement from Medicare even if the services were provided by Non-Physician Practitioners (NPPs). However, here are some requirements […]
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Medicare Payment Cuts Coming in 2025

When Medicare sneezes, healthcare providers catch a cold! First came the sequester. Then came MACRA. Now, healthcare providers are getting ready for what could be the biggest round of cuts to Medicare yet; these cuts are likely to happen in 2025. Since the Medicare trust fund is supposed to run out by 2036, big changes […]
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ICD 10 Codes For Tick Removal & Billing Guide

When a patient comes to your office to have a tick removed, you take out the tick and write down details like the type of tick and how it was removed. Was the tick removal process easy, difficult, or complicated? You must write down and use the correct ICD-10 codes for each item to prevent […]
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Medical Coding Audit Types & Their Benefits

It is useless to cry over denied claims due to medical coding errors or other possible reasons. Therefore, conducting a thorough medical coding audit is compulsory for the smooth performance of your healthcare practice. You might have heard about the Trojan Horse… “If the Troy troops had inspected the Trojan Horse, the Troy would not […]
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Chronic Care Management Coding & Billing Guide

Need help with CCM coding? I am here for you. Let’s talk! Chronic care management plays a vital role in the healthcare industry, especially for common chronic diseases. Almost 129 million people in the US suffer from at least one major chronic disease. This significantly impacts their lives and contributes to a large portion of […]
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Happy National Latino Physician Day

Every year on October 1, people celebrate National Latino Physician Day to honor the important work that Latino doctors do in the healthcare field. Latino Physician Day, first celebrated on October 1, 2022, will be observed for the third time on October 1, 2024. The holiday is a tribute to the important part that Latino […]
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