The healthcare industry is in a perpetual state of change. A significant milestone occurred when the United States mandated the use of ICD-10 billing codes. This shift transformed billing procedures for medical providers, from solo physician practices to large hospitals. As a result, ICD10 medical billing outsourcing has become a critical solution for managing the […]
The healthcare industry has traditionally been a black box when it comes to pricing. Patients, providers, and payers alike have often struggled to understand the complex web of costs associated with medical services. However, a seismic shift is underway. The advent of price transparency regulations and the evolving role of Revenue Cycle Management (RCM) are […]
The healthcare industry has long buzzed about the potential of Artificial Intelligence (AI) to revolutionize financial operations and internal workflows. However, for practical solutions tackling the complexities of RCM, intelligent automation offers a more realistic path forward. Why Intelligent Automation Over AI? True AI strives to mimic human cognition, but it remains in its early […]
The Rising Denial Rates in Healthcare Claims Processing Initial Claim Denials: In a new survey conducted by healthcare Company an increased percentage of initial claims are denied by private payers, including pre-approvals for medical claims. Hospitals, health systems, and post-acute care providers may have a difficult time getting paid for medical services. The survey respondents […]
Discover how healthcare providers can accelerate cash flow, minimize denials, reduce operational costs, and enhance patient satisfaction through streamlined Revenue Cycle Management (RCM). RCM is a strategic approach to overseeing all financial aspects of a patient’s journey, from initial appointment scheduling to final bill payment. This article highlights the critical role RCM plays in maximizing […]
Higher satisfaction with problem resolution was observed among beneficiaries who were more inclined to renew their Medicare Advantage plan. Medicare Advantage plans have garnered favorable satisfaction scores, with beneficiaries showing high approval ratings for trustworthiness, operational ease, and coverage adequacy, as outlined in a recent market research study. The 2023 US Medicare Advantage Study encompasses […]
The medical billing industry is constantly evolving, with new technologies and trends emerging all the time. As the healthcare industry continues to change, so too will the way medical billing is done. Here are some of the trends that are expected to shape the future of medical billing: The increasing use of electronic health records […]
Despite ongoing concerns about denials and beneficiary access to care, Medicare Advantage (MA) companies remain in the spotlight as their market penetration continues to grow. In April 2022, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) highlighted a significant issue in the capitated payment model employed […]
The healthcare industry is on the brink of transformation, as a multitude of emerging technologies and trends, such as artificial intelligence, virtual reality, telehealth, and blockchain, are set to revolutionize it. The pace of innovation in healthcare technology is relentless and shows no signs of decelerating. A myriad of emerging technologies and trends, such as […]
Here are four must-know key performance indicators that providers should know and use when looking to improve outcomes and the patient experience. Key performance indicators (KPIs) have always mattered, but they are now more relevant than ever in the healthcare industry, as providers make the shift to value-based care. While there are many common types […]