Consulting

[ad_1] 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 […]

[ad_1] 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, […]

[ad_1] 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 […]

[ad_1] 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 For example, if the patient’s ID code is outdated or the provider’s NPI number is wrong, […]

[ad_1] 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. […]

[ad_1] 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 […]

[ad_1] 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 […]

[ad_1] Healthcare costs have increased to a whopping 4.6% over the last couple of years. This rise has impacted the revenue collection of providers as well as the overall financial experience of the patients. This rise is keeping the patients from seeing a doctor which can lead to dangerous consequences. Flexible patient payment plans allow […]

[ad_1] ICD-10 is a medical classification system used for coding diagnoses and procedures. It stands for the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, and is maintained by the World Health Organization (WHO). ICD-10 contains codes representing medical conditions, diseases, injuries, and related healthcare procedures. The system provides a standard language […]

[ad_1] Health Insurance Portability and Accountability Act (HIPAA) compliance is essential for any medical practice that handles patients’ protected health information (PHI). A HIPAA compliance checklist can help medical practices follow HIPAA regulations to protect their patient’s PHI (protected health information). There are several factors that providers must have to consider in HIPAA compliance requirements. […]