Today, the competition is growing high even in the medical field. However, the competition relies on the accuracy and efficiency in the medical coding. Also, submission of the medical claims is highly significant. Medical coding is a complex and time-consuming process that is expensive when it is completed in-house. With lots of challenges in this…
In these uncertain times, given all the changing rules regarding the filing, collection, and processing of claims by insurance carriers, doctors do encounter financial burdens. The most frequently asked questions. Am I collecting the highest possible amount? How can I know that I collect as much as possible? How can I increase my income? Perhaps…
Outsourcing as a concept within a medical organization is the transfer of part of the functions of servicing the activities of a medical institution to another company specializing in the relevant field based on an agreement. Outsourcing allows managers and staff to focus on the essential functions that they perform, primarily as medical specialists. Those…
Have you thought about authorization before outsourcing? Outsourcing the pre-approval process will be very profitable for your business! Outsourcing prior authorization services are essential for the profitability of any business. A critical step to success is to identify benefits for the patient and consider specific medical procedures before performing the service. Reimbursement for many emergency…
The medical billing companies are different from the medical coding companies in many ways. In medical billing, you use proprietary data software to enter data into a system, while in medical coding, you have to get in touch with healthcare professionals such as doctors and nurses. The main aim here is to classify the services…
In every business or organization, it is always big stress if the payments are not received on time or are inaccurate. But when there are proficient ways and systems to guide you, there will be no time, money or energy wasted from your side. The best solution is to outsource your accounts receivables that are…
It goes without saying that every organisation should always focus on their core competencies and outsource all the processes which are time-consuming and up costing them their profits and also a lot of manual labour and crucial resources which can otherwise be used in a much better manner. Read on to know why you should…
Denial of medical claims has been the biggest concern for physicians, doctors & other healthcare professionals. Recurring denials or increase in denials lead to operational losses which are difficult and sometimes impossible to recover. Denials fall into two big buckets: hard and soft. Hard denials cannot be reversed or corrected, and result in lost or…
The AMA (American Medical Association) recently stated that the rise in claims processing errors is causing unnecessary costs for the healthcare industry. Not all of the factors that influence claims payment are within your control, but you can take steps to lessen at least some of the frustration and unnecessary expense associated with claims delays…
Medical billing involves a healthcare provider submitting, following up on, and appealing claims with health insurance companies in order to receive payment for services rendered; such as testing, treatments, and procedures. Essentially, medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services…