Category: Blog

Ending the Aging Process: How to Control Your Accounts Receivable

When your reimbursement staff is working old accounts receivable while also trying to stay up-to-date with current billing and collection activity, they can quickly feel overwhelmed. While the high dollar claims always need to remain a priority, you also need to keep a watchful eye on aging claims to ensure that NOTHING is resolved past […]
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10 Revenue Cycle Tips For Healthcare Organizations

As patients take on more out-of-pocket costs, and patient satisfaction continues to influence the financial health of hospitals, revenue cycle management has become increasingly important to organizations. Amid these and other changes, many revenue cycle professionals have offered thought-provoking insights. Here are 10 RCM tips from industry experts: 1. “To make sure that your organization […]
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Do You Know About MACRA? The Majority of Clinicians Don’t

Most Clinicians Still Do Not Know About MACRA Major financial penalties loom for providers not following reporting requirements. We are more than halfway through the first year of the Medicare Access and CHIP Reauthorization Act (MACRA), and a majority of clinicians still do not understand the program. In fact, the Centers for Medicare & Medicaid […]
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Outsourcing idea

Why ICD-10 Makes Outsourcing Billing a Splendid Idea

Healthcare is an industry in an ongoing state of flux. In October 2015, the use of ICD-10 billing codes became mandatory in the United States. This created a major transformation in billing procedures for medical providers ranging from a solo physician office to mega-hospitals. The number of codes available to medical billers when they used […]
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Get the Money You are Owed for the Services Provided

Correct coding is essential for the proper billing of your business to occur. When the wrong codes are put it, you can be missing out on hundreds of dollars per client every month. If you are struggling to do your own medical billing without the assistance of a professional biller, you may be in over […]
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Healthcare Coverage

5 Ways to Make the Most of Your Coverage

Now that you have health coverage, here is what you can do to put your health first and live a long and healthy life. 1. Confirm your coverage 2. Know where to go for answers 3. Find a provider 4. Make an appointment 5. Fill your prescriptions 1. Confirm your coverage: Be sure your enrollment […]
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Protecting the Patient’s Right to Privacy

One of the most basic rights that a patient has is the right to privacy. Patients have the right to decide to whom, when, and what extent their private individually identifiable health information is disclosed. This information includes but is not limited to medical diagnosis, treatment plans, prescriptions, health insurance information, genetic information, clinical research […]
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RR Insurance Verification

Insurance Verification: Avoiding Denied Claims

Imagine for a minute that you have received a denial in the mail for an insurance claim and it states that services are not covered or this procedure requires prior authorization. You think for a moment…why didn’t someone know about this ahead of time. Of course, someone would have known if your office had a […]
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Eight Steps To Improve Revenue Cycle Efficiency

Revenue cycle management refers to the business side of your practice—from verifying patient insurance eligibility to submitting claims to receive health plan payments and billing patients for their share of service costs. Although patient care will always be your top passion and priority, an efficient revenue management system is critical for your practice’s financial health […]
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