Lauren Lau's articles Strategies for Dealing with Denied Claims Dealing with denied claims is one of the most frustrating and time-consuming aspects of medical billing. However, there are several strategies billing staff can employ to efficiently handle denials, appeal them successfully, and prevent denials from occurring in the first place. This comprehensive guide will explore the most effective ways to deal with denied claims in medical billing. Understanding Why Claims Get Denied In order to prevent […] February 26, 2024February 27, 2024 Saving Bookmark this article Bookmarked Claim Denial vs. Rejection: What’s the Difference? In the healthcare industry, there are two main ways that insurance companies respond when they decide not to pay a claim – denial and rejection. Both indicate the claim will not be paid, but there are some important differences between the two. Understanding the distinction is critical for medical providers to correctly follow-up so they can get claims paid appropriately. […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked Exploring the Integration of ChatGPT in Revenue Cycle Management As the healthcare industry continues to embrace technological innovations, the integration of artificial intelligence (AI) solutions like ChatGPT in Revenue Cycle Management (RCM) holds immense promise for optimizing financial processes and improving operational efficiency. In this article, we delve deeper into the potential applications and challenges associated with leveraging ChatGPT in RCM. Understanding Revenue Cycle Management Before delving into the […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked Artificial Intelligence (AI): Friend or Foe of Revenue Cycle Management? Revenue cycle management (RCM) is a crucial part of running any healthcare organization. It involves everything from patient registration and eligibility verification to medical coding, charge capture, claims submissions, payment posting, denial management, and more. The goal is to maximize reimbursements while reducing costs and inefficiencies. In recent years, artificial intelligence (AI) has emerged as a potentially transformative technology for improving RCM processes. AI tools can automate mundane tasks, […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked Medical Credentialing: The Importance of Proper Verification and Accreditation Proper Verification and Accreditation in Medical Credentialing The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. In this article, we will delve into the importance of proper medical credentialing and how it benefits both healthcare […] February 7, 2023February 7, 2023 Saving Bookmark this article Bookmarked Dallas Medical Billing, Credentialing Dallas Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Dallas, TX and nearby communities. In the Dallas area, there a number of outstanding healthcare providers, some of which have been nationally applauded for their excellent performance. Here are the top Dallas healthcare providers named by U.S. News & World Report. UT […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked Atlanta Medical Billing, Credentialing Atlanta Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Atlanta and nearby communities. In the Atlanta area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Atlanta healthcare providers named by U.S. News & World Report. Emory University […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked Boston Medical Billing, Credentialing Boston Medical Billing, Credentialing Services Medwave is delighted to offer our medical billing and credentialing services to healthcare professionals in the City of Boston, MA and nearby communities. In the Boston area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Boston healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked Boston Medical Billing, Credentialing Boston Medical Billing, Credentialing Services Medwave is delighted to offer our medical billing and credentialing services to healthcare professionals in the City of Boston, MA and nearby communities. In the Boston area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Boston healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked Nashville Medical Billing, Credentialing Nashville Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Nashville, TN and nearby communities. In the Nashville area, there’s a variety of outstanding healthcare providers, some of which have been nationally recognized for their excellent performance. Here are the top Nashville healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked Houston Medical Billing, Credentialing Houston Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Houston, Texas and nearby communities. In the Houston area, there a number of especially highly-rated healthcare providers, some of which have been nationally celebrated for their outstanding performance. Here are the top Houston healthcare providers named by U.S. News & […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked The Role of AI in Medical Billing and Coding (AI) Artificial Intelligence in Medical Billing and Coding Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI can be employed […] September 2, 2022September 2, 2022 Saving Bookmark this article Bookmarked 6 Advantages of Outsourced Medical Billing Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like 25 years, but they […] September 2, 2022September 2, 2022 Saving Bookmark this article Bookmarked Is Telehealth Here to Stay? Is telehealth here to stay? We discuss the pros and cons of telehealth / telemedicine. When deployed with patients’ needs in mind, it works. April 4, 2022April 4, 2022 Saving Bookmark this article Bookmarked How COVID-19 Affected the Provider-Payer Relationship Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on payer-provider relationships, consisting […] March 23, 2022March 23, 2022 Saving Bookmark this article Bookmarked Medical Billing Robotic Process Automation (RPA) Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists of tools that partly or […] March 2, 2022March 2, 2022 Saving Bookmark this article Bookmarked Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes? Artificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (Ai) has become routine. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. Although AI is certainly transforming the healthcare industry, this technology is still quite […] March 2, 2022March 2, 2022 Saving Bookmark this article Bookmarked Healthcare Revenue Cycle Management Challenges Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must rely less […] November 24, 2021November 24, 2021 Saving Bookmark this article Bookmarked Medical Providers: Never Underestimate the Importance of Your Front Desk Staff Tips for your front end workforce Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle the incoming phone calls, network with would-be patients […] November 20, 2021November 20, 2021 Saving Bookmark this article Bookmarked Surprise Bills for COVID-19 Testing? Have Your Patients Been Charged with Surprise Bills for COVID-19 Testing? No doubt, the Delta-variant is the driving force behind a new flood of nationwide testing that could translate into more surprise medical bills for those being tested. The CARES Act and Families First Coronavirus Relief Act are supposed to ensure free COVID-19 testing for […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked Meeting the Challenge of Revenue Cycle Management Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked Common Revenue Cycle Management Mistakes and How to Avoid Them Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so long. Plenty has changed in […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked 10 Ways to Best Achieve Revenue Cycle Optimization Achieving Revenue Cycle Optimization The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers. Cutbacks in reimbursements, bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs, it’s difficult for providers […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked Outsourced Medical Billing Saves Money Outsourced Medical Billing Saves Healthcare Practices Money A rather bold statement. We’re so sure that we will save your healthcare practice money, we feel quite confident in asserting this claim in our headline. Where is it written that your healthcare practice has to conduct billing services in-house? Fact is, outsourcing medical billing can be extremely beneficial for […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked 6 Advantages of Outsourced COVID-19 Testing Billing Outsourced COVID-19 Testing Billing Advantages COVID-19 Testing Scenario Jude Hunt, 81 years old, said she waited in line for her second PCR test a few weeks ago after her vaccinated housekeeper tested positive for COVID-19. She said she previously contracted COVID herself and received the vaccine, but added, “After the last two years, I’m not […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked The Importance of Ethical Medical Billing Practices The Gravity of Ethical Medical Billing Practices The Hypothetical Case of Dr. Michael Stevens’ Unethical Medical Billing Behavior The case of Dr. Michael Stevens is an illustration of the worst-case scenario when unethical behavior impacts medical billing. An anesthesiologist and owner of a pain management clinic, Dr. Stevens was obliged to relinquish his medical license […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked Why Measuring Healthcare Outcomes is Important Measuring Healthcare Outcomes Healthcare Practice Key Performance Indicators Matter So, your healthcare practice is running smoothly. You’ve hired fantastic people, followed a marketing plan, placed the right technology and your patient retention policy is in full swing with a low churn rate. Things are going great, right? Well, there’s no way of really knowing for sure unless […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked 7 Medical Billing Strategies to Boost Patient Collections 7 Strategies to Maximize Patient Collections Any medical provider knows how difficult it is to get paid for their services. 73 percent of healthcare providers assert that it takes 30+ days to recover their payment fully. Various issues like complicated billing procedures, changing payer fee schedules, employee attrition, government directives, lack of training and resources and […] August 3, 2021August 3, 2021 Saving Bookmark this article Bookmarked Medical Billing Issues Affecting Healthcare Provider Revenue Healthcare Practice Revenue Affected by Medical Billing Issues Let’s say a patient comes in and gives you his or her Medicare card. The front desk carefully records the information and billing submits the charge to Medicare. But the claim is rejected, maybe even from the clearinghouse. The problem? The patient thinks he’s simply on Medicare, […] July 29, 2021July 29, 2021 Saving Bookmark this article Bookmarked Efficient Medical Patient Flow Increases Revenues Patient Flow Increases Revenues No longer can healthcare practices rely on the single appointment and waiting room process. Managers of healthcare practices of all types and sizes increasingly recognize that effective patient flow is key to increasing revenue and improving efficiency for the practice as well as providing a positive experience for the patient. As […] July 29, 2021July 29, 2021 Saving Bookmark this article Bookmarked Higher Accuracy of Medical Claims Saves Revenue Healthcare Practices Save Money with Higher Accuracy of Medical Claims Reimbursement for medical practices has been impacted by numerous trends and healthcare industry changes over the past five to ten years. Medicare and Medicaid are constantly cutting physician reimbursement, third-party payers (UnitedHealth, BCBS, Humana, Anthem, Aetna, Cigna, etc.) have bargained for fee-for-service contracts with healthcare […] July 15, 2021July 15, 2021 Saving Bookmark this article Bookmarked How Does Outsourcing Toxicology Billing Maximize Revenue Collection? Outsourcing Toxicology Billing Maximizes Profit As a supplier of toxicology testing, you’re well aware that medical billing for toxicology laboratory work is highly complex and undergoes frequent and often unpredictable changes. Further muddying the waters, lab testing work is an area of attention and scrutiny by agents for the Office of Inspector General and the […] May 27, 2021May 27, 2021 Saving Bookmark this article Bookmarked Common Examples of Medicare, Medicaid Fraud Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It A medical doctor invoiced his patient’s Medicare insurance for both the services he actually delivered and for services that were not delivered. He fabricated his patient’s medical records to indicate office visits and treatments that never took place. A gerontologist obtained the outcomes […] May 13, 2021May 13, 2021 Saving Bookmark this article Bookmarked What’s a Medical Billing Service? What’s a 3rd Party Medical Billing Service? Where’s the Value for a Healthcare Provider? The Basics of Medical Billing As a healthcare provider, you wear quite a few hats. Chances are medical billing might be one of them. But is there a better way? Let’s discuss the advantages for your healthcare practice to consider outsourcing […] April 16, 2021April 16, 2021 Saving Bookmark this article Bookmarked Easier Medical Billing and Credentialing Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […] March 25, 2021March 25, 2021 Saving Bookmark this article Bookmarked Miami Medical Billing, Credentialing Miami Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Miami, FL and surrounding communities. Miami’s Health District is the center of the city’s medical, research and biotechnology industries and, as such, is the home to many of the city’s largest hospital […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked Detroit Medical Billing, Credentialing Detroit Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Detroit, MI and surrounding communities. The healthcare industry has deep roots in the Detroit region. In fact, more than half of the health-related businesses in Michigan are located here. With more than […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked Tampa Bay Medical Billing, Credentialing Tampa Bay Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Tampa Bay, FL and surrounding communities. Tampa General Hospital is the highest-ranked hospital in the area in the U.S News & World Report’s 2020-2021 Best Hospitals and one of the top four hospitals […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked Phoenix Medical Billing, Credentialing Phoenix Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Phoenix, Arizona and surrounding communities. In the Phoenix area, there are a number of great healthcare providers, some of which have been recognized nationally for their outstanding performance. Here are the top […] March 18, 2021March 18, 2021 Saving Bookmark this article Bookmarked Louisville Medical Billing, Credentialing Louisville Medical Billing, Credentialing Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Louisville, KY and surrounding communities. In the Louisville area, there are a number of outstanding healthcare providers, some of which have been recognized nationally for their outstanding performance. Baptist Health Louisville is […] March 16, 2021March 16, 2021 Saving Bookmark this article Bookmarked Loading Load more
Strategies for Dealing with Denied Claims Dealing with denied claims is one of the most frustrating and time-consuming aspects of medical billing. However, there are several strategies billing staff can employ to efficiently handle denials, appeal them successfully, and prevent denials from occurring in the first place. This comprehensive guide will explore the most effective ways to deal with denied claims in medical billing. Understanding Why Claims Get Denied In order to prevent […] February 26, 2024February 27, 2024 Saving Bookmark this article Bookmarked
Claim Denial vs. Rejection: What’s the Difference? In the healthcare industry, there are two main ways that insurance companies respond when they decide not to pay a claim – denial and rejection. Both indicate the claim will not be paid, but there are some important differences between the two. Understanding the distinction is critical for medical providers to correctly follow-up so they can get claims paid appropriately. […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked
Exploring the Integration of ChatGPT in Revenue Cycle Management As the healthcare industry continues to embrace technological innovations, the integration of artificial intelligence (AI) solutions like ChatGPT in Revenue Cycle Management (RCM) holds immense promise for optimizing financial processes and improving operational efficiency. In this article, we delve deeper into the potential applications and challenges associated with leveraging ChatGPT in RCM. Understanding Revenue Cycle Management Before delving into the […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked
Artificial Intelligence (AI): Friend or Foe of Revenue Cycle Management? Revenue cycle management (RCM) is a crucial part of running any healthcare organization. It involves everything from patient registration and eligibility verification to medical coding, charge capture, claims submissions, payment posting, denial management, and more. The goal is to maximize reimbursements while reducing costs and inefficiencies. In recent years, artificial intelligence (AI) has emerged as a potentially transformative technology for improving RCM processes. AI tools can automate mundane tasks, […] February 26, 2024February 26, 2024 Saving Bookmark this article Bookmarked
Medical Credentialing: The Importance of Proper Verification and Accreditation Proper Verification and Accreditation in Medical Credentialing The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. In this article, we will delve into the importance of proper medical credentialing and how it benefits both healthcare […] February 7, 2023February 7, 2023 Saving Bookmark this article Bookmarked
Dallas Medical Billing, Credentialing Dallas Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Dallas, TX and nearby communities. In the Dallas area, there a number of outstanding healthcare providers, some of which have been nationally applauded for their excellent performance. Here are the top Dallas healthcare providers named by U.S. News & World Report. UT […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
Atlanta Medical Billing, Credentialing Atlanta Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Atlanta and nearby communities. In the Atlanta area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Atlanta healthcare providers named by U.S. News & World Report. Emory University […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
Boston Medical Billing, Credentialing Boston Medical Billing, Credentialing Services Medwave is delighted to offer our medical billing and credentialing services to healthcare professionals in the City of Boston, MA and nearby communities. In the Boston area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Boston healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
Boston Medical Billing, Credentialing Boston Medical Billing, Credentialing Services Medwave is delighted to offer our medical billing and credentialing services to healthcare professionals in the City of Boston, MA and nearby communities. In the Boston area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Boston healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
Nashville Medical Billing, Credentialing Nashville Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Nashville, TN and nearby communities. In the Nashville area, there’s a variety of outstanding healthcare providers, some of which have been nationally recognized for their excellent performance. Here are the top Nashville healthcare providers named by U.S. News & World […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
Houston Medical Billing, Credentialing Houston Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Houston, Texas and nearby communities. In the Houston area, there a number of especially highly-rated healthcare providers, some of which have been nationally celebrated for their outstanding performance. Here are the top Houston healthcare providers named by U.S. News & […] October 21, 2022October 21, 2022 Saving Bookmark this article Bookmarked
The Role of AI in Medical Billing and Coding (AI) Artificial Intelligence in Medical Billing and Coding Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI can be employed […] September 2, 2022September 2, 2022 Saving Bookmark this article Bookmarked
6 Advantages of Outsourced Medical Billing Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like 25 years, but they […] September 2, 2022September 2, 2022 Saving Bookmark this article Bookmarked
Is Telehealth Here to Stay? Is telehealth here to stay? We discuss the pros and cons of telehealth / telemedicine. When deployed with patients’ needs in mind, it works. April 4, 2022April 4, 2022 Saving Bookmark this article Bookmarked
How COVID-19 Affected the Provider-Payer Relationship Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on payer-provider relationships, consisting […] March 23, 2022March 23, 2022 Saving Bookmark this article Bookmarked
Medical Billing Robotic Process Automation (RPA) Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists of tools that partly or […] March 2, 2022March 2, 2022 Saving Bookmark this article Bookmarked
Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes? Artificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (Ai) has become routine. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. Although AI is certainly transforming the healthcare industry, this technology is still quite […] March 2, 2022March 2, 2022 Saving Bookmark this article Bookmarked
Healthcare Revenue Cycle Management Challenges Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must rely less […] November 24, 2021November 24, 2021 Saving Bookmark this article Bookmarked
Medical Providers: Never Underestimate the Importance of Your Front Desk Staff Tips for your front end workforce Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle the incoming phone calls, network with would-be patients […] November 20, 2021November 20, 2021 Saving Bookmark this article Bookmarked
Surprise Bills for COVID-19 Testing? Have Your Patients Been Charged with Surprise Bills for COVID-19 Testing? No doubt, the Delta-variant is the driving force behind a new flood of nationwide testing that could translate into more surprise medical bills for those being tested. The CARES Act and Families First Coronavirus Relief Act are supposed to ensure free COVID-19 testing for […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked
Meeting the Challenge of Revenue Cycle Management Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked
Common Revenue Cycle Management Mistakes and How to Avoid Them Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so long. Plenty has changed in […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked
10 Ways to Best Achieve Revenue Cycle Optimization Achieving Revenue Cycle Optimization The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers. Cutbacks in reimbursements, bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs, it’s difficult for providers […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked
Outsourced Medical Billing Saves Money Outsourced Medical Billing Saves Healthcare Practices Money A rather bold statement. We’re so sure that we will save your healthcare practice money, we feel quite confident in asserting this claim in our headline. Where is it written that your healthcare practice has to conduct billing services in-house? Fact is, outsourcing medical billing can be extremely beneficial for […] October 2, 2021October 2, 2021 Saving Bookmark this article Bookmarked
6 Advantages of Outsourced COVID-19 Testing Billing Outsourced COVID-19 Testing Billing Advantages COVID-19 Testing Scenario Jude Hunt, 81 years old, said she waited in line for her second PCR test a few weeks ago after her vaccinated housekeeper tested positive for COVID-19. She said she previously contracted COVID herself and received the vaccine, but added, “After the last two years, I’m not […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked
The Importance of Ethical Medical Billing Practices The Gravity of Ethical Medical Billing Practices The Hypothetical Case of Dr. Michael Stevens’ Unethical Medical Billing Behavior The case of Dr. Michael Stevens is an illustration of the worst-case scenario when unethical behavior impacts medical billing. An anesthesiologist and owner of a pain management clinic, Dr. Stevens was obliged to relinquish his medical license […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked
Why Measuring Healthcare Outcomes is Important Measuring Healthcare Outcomes Healthcare Practice Key Performance Indicators Matter So, your healthcare practice is running smoothly. You’ve hired fantastic people, followed a marketing plan, placed the right technology and your patient retention policy is in full swing with a low churn rate. Things are going great, right? Well, there’s no way of really knowing for sure unless […] September 4, 2021September 4, 2021 Saving Bookmark this article Bookmarked
7 Medical Billing Strategies to Boost Patient Collections 7 Strategies to Maximize Patient Collections Any medical provider knows how difficult it is to get paid for their services. 73 percent of healthcare providers assert that it takes 30+ days to recover their payment fully. Various issues like complicated billing procedures, changing payer fee schedules, employee attrition, government directives, lack of training and resources and […] August 3, 2021August 3, 2021 Saving Bookmark this article Bookmarked
Medical Billing Issues Affecting Healthcare Provider Revenue Healthcare Practice Revenue Affected by Medical Billing Issues Let’s say a patient comes in and gives you his or her Medicare card. The front desk carefully records the information and billing submits the charge to Medicare. But the claim is rejected, maybe even from the clearinghouse. The problem? The patient thinks he’s simply on Medicare, […] July 29, 2021July 29, 2021 Saving Bookmark this article Bookmarked
Efficient Medical Patient Flow Increases Revenues Patient Flow Increases Revenues No longer can healthcare practices rely on the single appointment and waiting room process. Managers of healthcare practices of all types and sizes increasingly recognize that effective patient flow is key to increasing revenue and improving efficiency for the practice as well as providing a positive experience for the patient. As […] July 29, 2021July 29, 2021 Saving Bookmark this article Bookmarked
Higher Accuracy of Medical Claims Saves Revenue Healthcare Practices Save Money with Higher Accuracy of Medical Claims Reimbursement for medical practices has been impacted by numerous trends and healthcare industry changes over the past five to ten years. Medicare and Medicaid are constantly cutting physician reimbursement, third-party payers (UnitedHealth, BCBS, Humana, Anthem, Aetna, Cigna, etc.) have bargained for fee-for-service contracts with healthcare […] July 15, 2021July 15, 2021 Saving Bookmark this article Bookmarked
How Does Outsourcing Toxicology Billing Maximize Revenue Collection? Outsourcing Toxicology Billing Maximizes Profit As a supplier of toxicology testing, you’re well aware that medical billing for toxicology laboratory work is highly complex and undergoes frequent and often unpredictable changes. Further muddying the waters, lab testing work is an area of attention and scrutiny by agents for the Office of Inspector General and the […] May 27, 2021May 27, 2021 Saving Bookmark this article Bookmarked
Common Examples of Medicare, Medicaid Fraud Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It A medical doctor invoiced his patient’s Medicare insurance for both the services he actually delivered and for services that were not delivered. He fabricated his patient’s medical records to indicate office visits and treatments that never took place. A gerontologist obtained the outcomes […] May 13, 2021May 13, 2021 Saving Bookmark this article Bookmarked
What’s a Medical Billing Service? What’s a 3rd Party Medical Billing Service? Where’s the Value for a Healthcare Provider? The Basics of Medical Billing As a healthcare provider, you wear quite a few hats. Chances are medical billing might be one of them. But is there a better way? Let’s discuss the advantages for your healthcare practice to consider outsourcing […] April 16, 2021April 16, 2021 Saving Bookmark this article Bookmarked
Easier Medical Billing and Credentialing Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […] March 25, 2021March 25, 2021 Saving Bookmark this article Bookmarked
Miami Medical Billing, Credentialing Miami Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Miami, FL and surrounding communities. Miami’s Health District is the center of the city’s medical, research and biotechnology industries and, as such, is the home to many of the city’s largest hospital […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked
Detroit Medical Billing, Credentialing Detroit Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Detroit, MI and surrounding communities. The healthcare industry has deep roots in the Detroit region. In fact, more than half of the health-related businesses in Michigan are located here. With more than […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked
Tampa Bay Medical Billing, Credentialing Tampa Bay Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Tampa Bay, FL and surrounding communities. Tampa General Hospital is the highest-ranked hospital in the area in the U.S News & World Report’s 2020-2021 Best Hospitals and one of the top four hospitals […] March 20, 2021March 20, 2021 Saving Bookmark this article Bookmarked
Phoenix Medical Billing, Credentialing Phoenix Medical Billing, Credentialing Services Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Phoenix, Arizona and surrounding communities. In the Phoenix area, there are a number of great healthcare providers, some of which have been recognized nationally for their outstanding performance. Here are the top […] March 18, 2021March 18, 2021 Saving Bookmark this article Bookmarked
Louisville Medical Billing, Credentialing Louisville Medical Billing, Credentialing Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Louisville, KY and surrounding communities. In the Louisville area, there are a number of outstanding healthcare providers, some of which have been recognized nationally for their outstanding performance. Baptist Health Louisville is […] March 16, 2021March 16, 2021 Saving Bookmark this article Bookmarked
