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What is ERA in Medical Billing: A Provider Guide

[ad_1] Imagine a busy clinic where stacks of paper EOBs (Explanation of Benefits) are piling up on the billing manager’s desk. Every day they spend more time manually entering payment details, chasing down discrepancies, and trying to decipher handwritten notes from various insurance companies. It’s like trying to juggle flaming torching while riding a unicycle. […]
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Top 10 Provider Payment Systems in Healthcare

[ad_1] As a healthcare provider, you need a simple and smooth payment way. Getting paid right for your services can be tricky until you find the best method. Here we will share some common provider payment systems used in healthcare. So you can pick what is right for your needs. The goal is to find […]
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Non-Participating Provider Letter to Patients: Editable Samples & Writing Guide

[ad_1] As the saying goes, forewarned is forearmed. But when that medical bill shows up inflated like a hot air balloon, patients are left scratching their heads wondering what happened. The culprit? Non-participating providers who don’t play by the insurance rules. Therefore, healthcare providers must learn how to write to patients explaining the non-PAR puzzle […]
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What is Medicaid Spenddown? – BellMedEx

[ad_1] The golden years are meant to be enjoyed, not fretted over finances. But for elderly folks living hand to mouth on meager pensions or social security, healthcare expenses can be an unbearable burden. Medicaid aims to lift that burden! This federal program provides medical insurance to those who can’t otherwise afford it. For millions […]
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“I hate my patients”, What To Do If You Start Disliking Your Patients?

[ad_1] Doctors may start hating their patients due to compassion fatigue, feeling disrespected, systemic burnout, and moral distress. When this happens, they should reconnect with their purpose, set boundaries, focus on wins, build support systems, practice self-care, seek professional help, advocate for change, and remember the human connection. On a lighter note, if dealing with […]
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Out-of-Network Medical Billing Guide – BellMedEx

[ad_1] When it comes to medical billing, “in-network” and “out-of-network” sound like slippery phrases. But at their core, they’re simple. In-network means healthcare providers partnered with an insurance company. Out-of-network means no partnership with an insurance company. And this matters for reimbursements! With in-network providers, insurance companies negotiate rates and oversee payments. But with out-of-network, […]
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What is Delegated Credentialing in Healthcare

[ad_1] Healthcare provider credentialing is complex and thus takes 3 to 6 months. That is why more healthcare facilities are opting for DELEGATED CREDENTIALING. It increases enrollment turnaround times, decreases paperwork, and expedites timely reimbursement. The insurance company also takes less time to decide whether to take a provider on its panel or not. This […]
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AMA Updates Influenza Season Vaccine Codes 2024-25

[ad_1] The healthcare regulatory bodies like AMA and Medicare keep on updating the billing and coding guidelines and regulations. The healthcare providers must stay updated with the latest trends and changes related to billing and coding. In a recent development, American Medical Association (AMA) just updated the CPT code sets for vaccines of 2024-2025 influenza […]
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