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…
DetailsThe 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…
DetailsMedical 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…
DetailsARTIFICIAL INTELLIGENCE TODAY Over the recent years, a lot of people have been discussing a specific term comprehensively and that term is AI or Artificial Intelligence. Even Hollywood has been using this topic to make movies since years. Now the question arises what exactly is Artificial Intelligence? “Artificial Intelligence is a branch of computer science…
DetailsMedical transcription is key in medical practice. Accurate and timely transcriptions are an absolute must. Physicians need to be certain that their vocal dictations will be accurately transcribed into well-polished, written documents. It doesn’t matter if the organization is a start-up or owned by solo proprietor or a large one, the importance and value of…
DetailsEMR stands for Electronic medical record, which is the systematized collection of patient health information and a digital equivalent of paper records. The EMR represents a medical record within a single facility, such as a doctor’s office or a clinic. EMRs typically contain general information such as treatment and medical history about a patient as it…
DetailsWhat is Prior Authorization? Prior authorization is an important element of medical billing and RCM. It is basically a health plan cost-control process requiring providers to obtain approval before performing a service to qualify for payment. Health insurers frequently require prior authorization for pharmaceuticals, durable medical equipment and medical services. It is one of the…
DetailsAbout RPA Robotic Process Automation or RPA is the technology that allows anyone today to configure computer software, or a “robot” to emulate and integrate the actions of a human interacting within digital systems to execute a business process. RPA is capable of automating activities (by creating software agents) that once required human judgment. This…
DetailsOutsourcing is a concept people get fired up about. Some people love it; others hate it. It seems as though nothing divides a room full of business professionals faster than the idea of sending some services out of house. Although some people will argue against it until they’re blue in the face, outsourcing is incredibly…
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