What is upcoding in medical billing? Well! It is a coding error that can make insurance companies pay more than what they owe the provider. But things are not as simple! This coding error can also be termed fraudulent activity, costing you your reputation and resulting in heavy penalties, such as cancellation of your practice […]
What is Upcoding and Unbundling in Medical Billing? Read More »
Identifiers are necessary for processing online information. An entity code is exactly that! This medical identifier labels different entities (individuals) involved in the billing process, including healthcare providers, such as doctors, hospitals or clinics, patients, insurance companies, or a third-party billing service. If you are a healthcare or medical billing professional, you might already understand
What is an Entity Code in Medical Billing? Read More »
Hospital and professional billing are a part of medical billing, but both are used in different settings and for different services. This guide will break down the key differences between hospital billing and professional billing and how they can be used in combination in different scenarios. What’s more? Both professional billing and hospital billing services
Hospital Billing vs. Professional Billing Read More »
Collecting outstanding balances from patients is challenging, but it is also essential to keep your practice afloat. It is difficult to pay the bills and provide quality care services without a steady cash flow. Thus, this guide will discuss the best strategies to maximize patient collections. That’s not all! We will also walk you through
Strategies to Maximize Patient Collections Read More »
Healthcare facilities struggle to stay profitable amidst reimbursement cuts and ever-evolving regulations. A/R, or accounts receivable in healthcare, is one of the many metrics that need constant monitoring to avoid flushing your rightful payments down the drain. This comprehensive guide will explore it in detail. We will start by discussing what is A/R and what
What is Accounts Receivable (A/R) in Healthcare and How to Improve It? Read More »
In the healthcare space, provider credentialing is the process that ensures physicians are qualified to perform medical procedures. It is critical because it saves both the healthcare facility and the provider from penalties due to malpractice or negligence. However, it is a complicated and time-consuming process that requires you to submit many documents that may
The Essential Physician Credentialing Checklist Read More »
Technological advancements are affecting every industry, improving how individuals get things done. Electronic health records (EHR), a computerized version of traditional health records, are one of these advancements in healthcare. EHRs make it easier for authorized health workers to access patient records. Some people might be confused, thinking EHR systems are used for managing patient
Electronic Health Record (EHR): Importance of EHR in Medical Billing and Coding Read More »
In the rapidly evolving digital age, industries worldwide are undergoing significant transitions, and the healthcare sector is no exception. One notable change in healthcare is the transition from traditional paper-based medical billing methods to more efficient and accurate digital billing systems. However, the shift was NOT sudden. It happened gradually, and with the popularity of
News & Insights About the Evolution Medical Billing Industry Read More »
Ever wondered why healthcare expenses continue to climb despite efforts to limit them? Have you ever considered the complexities of the healthcare billing process and how they affect patients and physicians? Physicians encounter many problems in getting paid for their rendered care services. This guide delves into the most common medical billing and coding challenges
Challenges Physicians Encounter with Medical Billing and Coding Processes Read More »
Medical billing and coding problems are prevalent and require significant time and effort. If you and your medical billing and coding team fail to manage these challenges properly, you will lose money and may face other dire consequences. Unfortunately, even little errors cause severe damage to the claim and payment systems. These common blunders diminish
