Upcoding in Medical Billing, the act of billing for a higher level of service than was actually provided in medical billing, is unfortunately not uncommon. While it may seem like a harmless way to boost revenue, the consequences are far-reaching and detrimental to both patients and the healthcare system as a whole. Upcoding in Medical […]
Denials within the realm of healthcare persist as a perpetual and escalating issue. By 2022, denials constituted over 11% of claims, posing a significant threat if left unaddressed, as they can severely compromise an institution’s financial well-being and prospects. The combination of outdated technology and manual processes exacerbates the burden on staff, time, and finances […]
Running a small medical practice comes with its unique challenges. Balancing exceptional patient care with the demands of administrative tasks can be overwhelming. One critical aspect of a thriving practice is managing the revenue cycle effectively. This is where medical billing services step in, providing a lifeline for small practices to not only survive but […]
Medical billing outsourcing provider: The healthcare industry is constantly evolving, and medical billing is no exception. The ever-changing regulatory landscape, complex insurance plans, and increasing patient volumes can make it difficult for healthcare providers to keep up with their billing and coding needs. This is where outsourcing medical billing services can come in handy. Outsourcing […]
On Thursday, the Biden administration revealed its intention to eliminate medical debt entries from Americans’ credit reports, aiming to put an end to what it views as coercive debt collection strategies affecting a wide swath of consumers. The proposed measures are designed to extend a financial lifeline to families grappling with medical crises, curbing the […]
Debridement is a process that involves the removal of foreign material, as well as tissue that is either devitalized or contaminated, until healthy tissue is revealed. Its primary purpose is to clean the affected area and is often performed concurrently with other orthopedic surgical interventions. In my role as an auditor specializing in orthopedics, I […]
Whether you’re a primary care doctor, a specialized medical professional, or an integrative health provider, the intricate landscape of insurance billing frequently presents not just an administrative inconvenience, but, if not managed effectively, it can also hinder the growth of your practice and revenue stream. Recent data reveals that the rate of claim denials stands […]
Medical billing can be a complicated landscape with costly and alarming risks. From minor transcription errors to major coding misunderstandings, inaccuracies in this field may lead to lost income or legal complications for your healthcare organization. While some medical billing problems stem from simple oversights, others result from systemic challenges. However, all of these issues […]
The increasing demand for incontinence products is prompting home medical equipment (HME) providers to reevaluate their existing incontinence programs. With the U.S. witnessing a significant rise in the aging population, marked by 10,000 people turning 65 every day according to the U.N. Population Division, there is a growing market for incontinence products. Studies from Mayo […]
The impact of prolonged turnaround times from billers in medical billing is frequently underestimated, yet it has far-reaching consequences for everyone involved. Delays in processing times impose financial burdens on healthcare organizations and patients. By gaining insight into the concealed costs and inefficiencies, we can enhance the process and achieve more favorable financial outcomes. In […]