Medical Billing FAQs

Artificial intelligence (AI) is experiencing rapid growth in almost all major industries, and healthcare is no different. AI algorithms are already assisting healthcare providers on the clinical side in analyzing medical images, suggesting treatment plans, and accelerating drug discovery. This comprehensive blog will explore the wonders of AI on the operational and financial side. We […]

Did you know that even one insignificant error in an EHR can be quite costly? There is no doubt about the efficiency of an Electronic Health Record (EHR)—the digital version of a patient’s medical chart. However, we cannot deny the possibility of errors due to human oversight and technical limitations. Mistakes in data entry, vague

We all need mentors or coaches in our personal as well as professional lives who will assess our performance, give us critical feedback, and help us create and put efficient systems in place for continued growth and development. External billing auditing teams are the guiding force that healthcare practices need for optimized billing workflows, a

Are you tired of searching for easier and quicker ways to get credentialed with insurance companies? If you are like most doctors, becoming an in-network provider can feel frustrating due to endless paperwork, countless verifications, and tight deadlines. The biggest challenge? Figuring out what the insurance companies actually want. You can find information from various

Without vendors, hospitals and small healthcare centers will not have the equipment, supplies, and technology needed to deliver patient care. In the vast and intricate healthcare system, vendors are individuals or entities that provide goods and services to medical facilities, ensuring their proper functioning.  However, before a payment contract is signed between the hospital and

Are you tired of trying but not succeeding? Do you dream of someone who can manage the non-clinical side of your medical practice so you can focus on patient care? Then, we are the bearers of good news.  A medical practice management consultant can trigger 360-degree business transformation and take your practice to new heights.

People around you may be using ERA and EOB interchangeably. However, we are here to tell you that both EOB and ERA are different documents that serve distinct purposes in medical billing.  What is ERA in Medical Billing? Electronic Remittance Advice (ERA) is the electronic version of traditional paper-based Explanation of Benefits (EOB). An insurance

How often do you receive prompt payments for your services without any rejections? Payers deny most medical claims due to billing errors, such as incomplete or missing patient information, mismatched coding, lack of pre-authorization, and missed deadlines. The problem is so severe that according to Premier’s voluntary national survey of 2023, insurance companies, on average,

Every year, hospitals in the USA report nearly $50 billion in bad debt, and 30% of the hospitals (one in three) incur a bad debt of over $10 million. That’s a lot of money being written off!  Write-offs in medical billing are a frequent occurrence. While some write-offs are happily agreed upon by the provider

Many tasks and actions like construction, business operations, and large public gatherings require permission. In medical billing, healthcare providers also need permission to perform certain procedures or services. This extra step is called pre-authorization (PA), or prior authorization in medical billing. But why is authorization so important in medical billing? Insurance companies use the prior