Fee-for-Service vs. Value-Based Care: What Healthcare Providers Need to Know
In the healthcare industry, two primary payment models, fee for service vs value based care have become central to discussions around improving outcomes and controlling costs. Understanding the difference between fee for service and value based care is essential for providers aiming to optimize care delivery and revenue. These models impact how healthcare providers are […]
Is Value-Based Care the Future of Quality and Affordable Healthcare Delivery?
Value-based care (VBC) is a transformative approach to traditional fee-for-service models, which is facing criticism for their inefficiencies and costly packages in the healthcare world. As patient expectation evolves, the demand for a system that prioritizes quality and affordability increases with time. So, VBC focuses on providing better patient outcomes that align with financial incentives […]
Understanding the Core Factors in Value-Based Care: A Breakdown of 8 Essential Variables
Healthcare providers in the United States face increasing pressure to transition to value-based care models, where compensation is linked to patient health outcomes rather than the volume of services provided. The financial benefits are evident: value-based care helps providers cut unnecessary costs while earning incentives for delivering high-quality, efficient care. These payments come from government […]
Why Medical Billing Audits Are Essential for Ensuring Financial Accuracy
An accurate billing and coding process is the central necessity for any healthcare revenue cycle. For this complex process, medical billing errors due to regulations and reimbursement policies can lead to significant financial loss, claims being rejected or denied, and strained patient relationships. It is where medical billing audits come into help and serve as […]
19 Essential Tips to Speed Up Prior Authorization for Medications
Prior authorization can be a challenging and lengthy process, particularly when it comes to medications. However, it plays a crucial role in confirming that a prescribed medication is medically necessary, suitable for the patient’s condition, and cost-effective. The good news is that there are methods to streamline the process. This guide outlines 19 effective tips […]
Telemedicine vs. Traditional Healthcare: Which Is Right For You?
However, the question remains which option between telemedicine or traditional healthcare is better for your needs? So, let’s evaluate the key differences, benefits, drawbacks and billing procedures of telemedicine and traditional healthcare to make an informed decision. Understanding Telemedicine and Traditional Healthcare Telemedicine refers to the practice of delivering healthcare services remotely using technology that […]
How Technology is Revolutionizing Medical Billing and Shaping the Future
Medical billing is the lifeline of any healthcare practice, ensuring that providers are paid for the services they deliver. Yet, this critical process is anything but simple. With ever-changing regulations, complex coding requirements, and increasing administrative burdens, billing often becomes a bottleneck for healthcare organizations. Fortunately, technology is changing the game. From streamlining workflows to […]
The Evolution & Future of Medical Billing
The future of medical coding and billing trends shows that the healthcare industry is growing. As it grows, so does the number of complex regulations and requirements governing practitioners. Let’s face it. It is hard to think about the future of your business and profession when most of you are just trying to get through […]
Why DME Billing Outsourcing Is Good for Your Practice
The durable medical equipment (DME) industry is in constant regulatory flux. And billing for dozens of items and services, each with different requirements, can be tedious and expensive. Durable medical equipment includes those items or services that are expected to last five or more years. The category also includes crutches, canes, oxygen, diabetic supplies, ostomy […]
Want to Stay on Top of Your KPIs? A Healthcare Billing Company Can Help!
There are a lot of ways medical professionals can tell if their work is successful. Patients feel better, lab results get delivered in a timely manner, x-rays and scans show the diagnostician what’s happening. But how do you monitor the success of the practice or facility as a business? Key Performance Indicators (KPIs) for medical […]