Medical debts are due to unpaid services which are not covered by health insurance and are expected to be paid out-of-pocket by the patients. The costs of healthcare in the US are at staggering heights already and can put the patient to bankruptcy. Health insurance companies offer coverage to patients but hospitals and related services […]
Claim Denials in Medical Billing Claim denials have been rising for the past years and insurance companies are continuously updating their policies, especially during the pandemic, causing some confusion to the medical billers, healthcare providers, and patients. Most denial roots are seen in the front-end medical billing flow, particularly in patient registration and coverage verification.
Surprise Medical Billing happens when a patient, especially in an emergency setting, pays out-of-pocket charges because the provider, ambulatory service, and hospital where he is rushed are out of his network coverage. The No Surprise Act protects these patients from surprise medical billing in emergency settings and provides an estimate to the paying, uninsured patient
HIPAA is an Act that protects all patient health information from getting lost or stolen electronically or physically. Businesses involved in handling health information are to be HIPAA certified down to the employees who encounter patient information firsthand. Employees who handle patient health information should be mindful of their actions regardless of their work setup
Medical Billing and Coding are two of the careers affected by the pandemic causing employees to resign and look for other job opportunities. There was a great resignation rate seen in 2021 in the US primarily caused by issues with payment, career progression, and the work environment. The ICD-9 to ICD-10 transition in 2015 challenged
There has been a vast rise in the use of Telemedicine in healthcare since the pandemic hit the world in 2020. Telemedicine is now a part of a hybrid approach to delivery of healthcare services and will be continuously used since the gap between patients and doctors has been bridged allowing easier access to healthcare without
Modernizing the approach to Psychiatry: Telehealth and Telemedicine Read More »
The aging accounts receivable reports the collectibles the company is supposed to have and These collectibles are debts owed to the company by the patient-client This aids the AR experts to identify open invoices that are due and need to be settled immediately to maintain business cash flow. Bad debts are risks that pose a
Medical Billing and Coding are two essential backbones of the Revenue Cycle Management Medical Coding is used to standardize patient diagnosis, procedures, and services in a language used in the billing process Billers and coders are two distinct professions but work in sync with one another Medical Coders and Billers work closely with one another
The Medical Billing Process, to put it simply, is a process of making sure a doctor and health institution get paid for their services. This could only take days to push through, however, in some cases, it can take several weeks or even months. A good medical billing expert knows how to properly get the
Medical Credentialing; A Light at the End of Physician’s Tunnel A physician credentialing process is a long process to verify the credibility and competence of a physician. Partnership with certain insurance organizations requires a full background check on the physician applying. Its Importance and Purpose in Healthcare If a patient seeks matters of health, it