Tag: Regulatory compliance

medical claims processing

The Power of Business Process Automation in Medical Claims Processing

Medical claims processing has traditionally been a labor-intensive and error-prone task, involving manual data entry, verification, and adjudication. However, the advent of Business Process Automation (BPA) has revolutionized this process, making it more efficient, accurate, and cost-effective. Beyond the Basics: Advanced BPA Features While the core functionality of BPA in medical claims processing involves automating […]
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Compliance in medical coding

Navigating Regulatory Compliance in Medical Coding for Accurate Billing

Explore the intricacies of codes for a better understanding of regulatory compliance in medical coding. Healthcare billing and documentation are based on medical coding. An accurate representation of the patient’s health journey, appropriate reimbursements, and avoiding potential legal pitfalls are crucial to ensuring accurate representation of the patient’s health journey, not just an administrative formality. […]
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Interoperability-Standards-and-AI-Revolution-in-optimizing-the-health-care-revenue-cycle

Optimizing Healthcare Revenue Cycle: Interoperability Standards and AI Revolution

Interoperability standards and AI wield significant influence over the revenue cycle, holding the potential to transform the financial landscape of healthcare establishments. In the constantly evolving realm of healthcare, the infusion of artificial intelligence (AI) has emerged as a game-changing force, promising to revolutionize patient care, diagnoses, and treatments. However, to fully harness the power […]
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Revenue Cycle Management Tips for New Year

Revenue Cycle Management Tips for 2024

As the healthcare industry continues to evolve, healthcare revenue cycle management (RCM) has become increasingly important. In order to ensure financial stability and success, healthcare providers must stay up-to-date with the latest revenue cycle management tips and best practices. 6 Tips for Healthcare Revenue Cycle Management 2024 1. Embrace Technology Advancements in technology have revolutionized […]
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Top 4 Compliance Policies and Procedures for All Healthcare Entities

Top 4 Compliance Policies and Procedures You Need to Know

Your healthcare entity is at risk if these elements aren’t part of its compliance plan. As healthcare workers, it’s our responsibility to know and understand that the Office of Inspector General (OIG) expects all healthcare entities to follow and abide by its self-proclaimed seven elements of an effective compliance program. The first element, implementing written […]
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