Providing top-notch medical services is just part of the story in healthcare. There is a critical backstage process of Medical Billing Agencies that monitors these services are properly accounted for and paid for medical billing Services. It involves the submission and follow-up of claims with health insurance firms. Thus, healthcare providers can receive payment for […]
Managing a healthcare practice is getting more challenging with each passing day. Therefore, more and more medical practitioners prefer outsourcing medical billing services – as an easier financial solution. Is billing that difficult – the answer is yes; it is a rather complex process, especially if your practice is undertaking in-house medical billing. Revenue cycle management (RCM) is […]
Most medical practices, especially those with only a handful of practitioners, believe that keeping or controlling all facets of RCM (Revenue Cycle Management) in-house will give them more flexibility or understanding of their finances. However, most practitioners or healthcare providers did not enter the profession to become accountants, coders, or billers. The reality of medical billing […]
Physician crеdеntialing is a critical procеss within thе hеalthcarе industry that еnsurеs thе qualifications and compеtеncy of hеalthcarе providеrs. It is a thorough еvaluation procеss conductеd by hеalthcarе organizations, insurancе companiеs, and rеgulatory bodiеs to vеrify thе qualifications, еducation, training, еxpеriеncе, and licеnsurе of physicians. Vеrification of Education and Training: During thе physician credentialing services […]
Healthcare revenue cycle management optimization involves unifying healthcare’s clinical and business sides through the coupling of administrative data. The data includes the patient’s name, their insurance provider, and other personal information about the patient’s treatment, in addition to their healthcare history/data. One key component of revenue cycle optimization is hands-on and continuous communication with health insurance providers. Revenue Cycle […]
Hiring unprofessional healthcare providers or letting them stick around can lead to more legal trouble for provider practices. To avoid this, you must check your providers’ credentials. Also, it is important to ensure everything is upgraded. If you do not check, it can hurt how much money your facility makes. Thus, it can put you […]
For 2024 – most healthcare practices will likely adopt stronger claims denial management strategies for handling the rising challenges of claim denials. A survey concluded that over 51% of respondents plan to be more aggressive with their claim denial management – while 46% intend to boost their payment collection efforts with the payers. Moreover, some organizations will […]
Credentialing in healthcare is a thorough process of assessing and establishing healthcare providers’ academic qualifications, licensure, and clinical practice. Pharmacist credentials help ensure that the pharmacists billing to insurance providers and patients are properly reimbursed. However, what is credentialing for pharmacies? And How are credentials for a pharmacist related to certifications and licensure? Let’s discuss all about credentialing for independent […]
Both pharmacy billing and reimbursement are vital aspects of the healthcare system. The pharmacy revenue cycle management ensures that pharmacies offer essential medications while maintaining financial viability. Let’s explore the details and complexities of pharmacy billing and reimbursement, detailing the key concepts, challenges, and best practices – all of which can be adopted by pharmacists for managing the pharmacy revenue […]
Recently, pharmacists have expanded the scope of their practice and services by incorporating additional clinical aspects into their routines. The pharmacy billing process now also caters to specific aspects of patient care, including: For medical billing and pharmacy billing services to remain sustainable – pharmacists must be able to receive payment for resources and time given to improving patient […]
© 2024 MedICD. All Rights Reserved
