You must know that your healthcare service can become complex with many processes. Your patient should receive the care they need without suffering unexpected expenses. Retro authorization is the one on top of the list. It can significantly impact on care provision and cost management both. Retro authorization is the process by which a health […]
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 […]
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 […]
An entity code in medical billing helps identify the type of entity billing for treatment services. The entity codes ensure that the correct entity gets the bill of services and that neither Medicare nor Medicaid receives bills for the same services. The healthcare professional, billing partners/offices, or insurance payers can assign an entity code in medical billing. […]
If you happen to be in the medical field – without a doubt, you will be familiar with the condition codes in medical billing. A condition code is an essential part of medical coding and billing processes. However, what is condition code – exactly? And – how can you use them correctly? Importance of a Condition Code in Medical Billing […]
Fraud in medical billing involves a broader range of illegal practices and may occur in different settings. At basic levels, medical billing fraud involves a healthcare practitioner who bills for services they did not provide. Furthermore, billing fraud is also one of the most common forms of Medicare fraud. However, improper billing practices can take […]
The world of healthcare services is very busy with many challenges coming with each one of them. The case in point is the challenge posed by administrative task which requires looking for an appropriate measure to be solved by medical billing company. While many healthcare facilities may be considering outsourcing this tiresome process overseas, the […]
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