Posts by Marketing
Top 3 Medical Coding Solutions for Improving Your Revenue Cycle
Accurate medical coding is crucial to a healthcare facility’s success. Coding errors can lead to denied claims, higher costs for patients and healthcare providers, and stagnant revenue cycles. Providers who employ certified medical coders and continue their training experience have fewer denied claims, improved compliance, enhanced fraud detection, timely reimbursements, and a more efficient healthcare…
Read MoreEffective Claim Review Strategies to Recuce Denials in Healthcare
Reducing medical claim denials is critical for both providers and payers. Denials not only disrupt revenue streams but also impact operational efficiency. Leverage the expertise of healthcare professionals who understand the medical and administrative aspects of claims processing. Medical claim reviews done by trained physicians help organizations discover pivotal strategies to minimize medical claim denials…
Read MoreOutsourcing Prior Authorizations Reduces Costs Up to 50%
In today’s complex healthcare landscape, managing prior authorizations (pre-authorization) can significantly drain internal resources, time, and efficiency. Every aspect of the billing process—from patient intake to final payment—must run smoothly to maintain financial health and optimize revenue capture. Prior authorizations play a critical role in this process. Prior Authorization Requirements Prior authorization requirements ensure that…
Read MoreUnderstand Medicaid Unwinding and What Hospitals Can Do to Help
Medicaid unwinding is an essential yet often misunderstood process with significant consequences for hospitals and their patients. As the public health emergency (PHE) declarations come to an end, states are resuming regular Medicaid operations, leading to the disenrollment of individuals who no longer meet eligibility criteria. This process, known as Medicaid unwinding, can create challenges…
Read MoreThe Crucial Role of Revenue Cycle Management (RCM) Services in Healthcare
Healthcare revenue cycle management can be complex, and hospitals face multiple challenges in ensuring financial stability while delivering quality patient care. Outsourcing Revenue Cycle Management (RCM) services can significantly impact a hospital’s bottom line by streamlining financial processes and alleviating staffing and training costs. Understanding Revenue Cycle Management (RCM) Revenue Cycle Management in healthcare…
Read MoreEnhancing Hospital Revenue Cycle – The Impact of Effective A/R Follow-Up in Medical Billing
Medical billing is a complex process and requires extensive knowledge in many sectors, as well as attention to detail. Accounts receivable (A/R) follow-ups are impactful for many hospital sectors. The tracking process and resolving outstanding, underpaid, and unpaid claims with payers can be exhausting and tedious. Healthcare claim denials are on the rise, with an…
Read MoreThe Impact of Financial Assistance Screening at Hospitals
Supporting the Uninsured in Communities Hospitals, as pillars of community health, face a balancing act between financial sustainability and providing essential care to uninsured patients. The dual responsibilities of financial viability and community care can be difficult to manage. Utilizing a charity care program and screening all patients for eligibility to third-party programs, like…
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