What Is Claims Scrubbing in Medical Billing?
Errors in medical billing can cause payments to be delayed, claim denials to rise, and financial strain on healthcare providers. The payer may reject a claim for even a minor error, such as an invalid code, a missing modifier or inaccurate patient information. This is the point in the healthcare billing process at which claims […]
How to Switch EHR Systems Without Disrupting Billing
Most practices make the mistake of measuring the cost of an EHR they want to migrate to instead of focusing on the migration itself. What really impacts your practice is the denial reports that appear after going live.MGMA discovered that EHR changes result in authorization and other billing issues that increase claim denial rates. This […]
In-House EMR vs. Cloud-Based EHR: Which One is Best For You?
Let’s say two practices of similar size, serving the same speciality with almost similar patient volume. One is using an in-house EMR and the other a cloud-based EHR. Five years forward, what do you think would be the difference in operational costs, compliance, and scalability? It would look nothing alike. Why? Because the electronic records […]
What Sets a General Surgery EHR Apart from Generic EHRs?
Nearly 96% of U.S. hospitals use an EHR today, but almost half of surgical specialists are still working with generic systems. The result is slower documentation, extra clicks, and missing details that are critical in surgical care. According to studies, moving from a generic EHR to a surgery-specific platform boosted documentation efficiency from 6.02 to […]
Different Types of Billing Systems in Healthcare
In the modern healthcare industry, efficient medical billing systems play an important role in ensuring that providers are timely reimbursed for the services they offer. However, the billing process isn’t always as straightforward as it might seem. The type of medical billing systems a healthcare provider uses can significantly impact their administrative workload, revenue cycle, […]
The Top 6 Methods for Providers to Verify Medicare Coverage
Every day, around 200 million claims get denied, which means roughly one in seven claims doesn’t get approved. Of these, about 27% are turned down because of problems with patient registration and eligibility. Dealing with these denials can be expensive, with each rejected claim costing an average of $25 to manage. This can create significant […]
Stay on Track With This Checklist for an Effective EHR Implementation
Electronic health record (EHR) systems have a lot to offer but implementing such a comprehensive process can be a daunting task. Many practitioners have no idea how to even get started, much less make sure the process complies with all the requirements. We’ve put together a checklist to help you make sure you hit all […]
Confused About PHR, EMR and EHR? Here’s What They Are and How They Differ
When the movement to make medical records digital-first started up, the new terms weren’t very clear, and electronic medical records (EMR) and electronic health records (EHR) were often denoted as EHR/EMR, so it’s no wonder folks were confused about the terms. Adding to the confusion, the two terms were often used interchangeably by people who […]
3 Reasons Why Revenue Cycle Management is Important in Healthcare
What is RCM in Medical Billing ? Every practice or medical organization acknowledges the importance of revenue cycle management in healthcare to some degree. However, an organized, well-designed approach to the healthcare revenue cycle management solutions can be the difference between a struggling practice and a thriving one. Revenue Cycle Management (RCM) begins when the […]
Here’s What You Need to Know About Medical Billing Quality Assurance
Regardless of the industry, business success clearly depends on getting paid for goods and services provided. In the sector, health revenue cycle management is more elaborate and complicated than it is in any other field. In its most simplified form, medical RCM begins when the patient contacts a provider to make an appointment. It includes […]