Tips on How to Reduce Days in Patient Accounts Receivable by Outsourcing the Process

In medical and Healthcare field, the decline of refunds, rise in deductibles of patients as well as rise in the expenses of operation is increasing the gap between the investment and the returns. The filing procedure and following up on the claims for insurance is getting serious for hospitals and for medical professionals. Outsourcing the …

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Are You Ready for Value-Based Payment Model?

The Centers for Medicare & Medicaid Services (CMS) has introduced value-based programs, aiming at reducing the cost of care delivery, ensuring better care for individuals and better health for the population. Value-based care model has been devised to replace the conventional fee-for-service model to shift the paradigm from quantity to quality. The payment model includes …

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Quick Facts – The Medicare Access and CHIP Reauthorization Act (MACRA)

The Medicare Access and CHIP Reauthorization Act (MACRA) is a final rule issued by the Centers for Medicare & Medicaid Services (CMS). The MCARA final rule has replaced the sustainable growth formula and consolidates many existing programs into one. Let’s wrap up a few quick facts about the Medicare Access and CHIP Reauthorization Act (MACRA). …

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Denial Management TIPS on How to Improve the Process

A denied medical claim can be stressful and disappointing for medical billers and physician practices as well. A denial of any medical bill can happen due to the following reasons: Error while typing due to carelessness No or less working experience in related field iii. Misinterpreting the information Coding in an inappropriate manner Insufficient or …

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Four Key Significances of Medical Billing Outsourcing

As more and more healthcare providers i.e. hospitals, physician practices, and clinics are seeking to outsource their medical billing services. Medical billing professionals are hard to find, and seeking one with specialized services is even harder. The reason is that most skilled medical professionals now operate their own firms. They prefer working on projects instead …

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The Benefits of Electronic Medical Billing

Recent advancement in technology has transformed the Healthcare industry and the medical billing process i.e. Electronic Medical billing. It is a term that is highly used these days, it a process in which a healthcare provider submits a bill or claim to the health insurance companies and keeps the follow up in order to receive …

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Out-of-Pocket Costs Catching up with Medicare Beneficiaries

Although Medicare has been a trusted health organization for almost half a decade. It covers 60% of the hospitalization, almost 80% of the doctor’s bill, and other precautionary services. However, now its beneficiaries are facing higher costs for the benefits it offers. Medicare prescription drugs should not be of out-of-pocket costs; this facility should be …

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