Health Insurance Provider Network

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Many people get confused about what a Health Insurance Provider Network is and what do they do? They are healthcare providers and their main job is to provide healthcare at a discounted rate by contracting with an insurance company through EPO, HMO, or any other plan. The discounted price is then accepted as a total …

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The Importance of Medical Billers and Coders in the Healthcare Industry

Medical billers and coders perform a very important role in the healthcare industry. Let’s have a look at their responsibilities and how they impact collections.

Medical Billers and Coders play an integral role in the medical industry. They perform most of the behind-the-scene tasks whilst providing a smooth and comfortable experience for the patients. This job’s demand is really high which is expected to increase by 13% by 2026. The role of medical coders and billers is very crucial, however, …

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How to Avoid Pass-Through Billing Traps

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There are times when healthcare service providers used to indulge in pass-through billing, which is controversial. Pass-through bills are considered unethical and illegal because the healthcare providers or their staff request billing for a service that is not provided by them. The billing provider increases its profit by charging for a service that they did not perform. …

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COVID-19 and the Recession in Healthcare Sector: Physicians Recession Survival Guide

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The economic situation in the world economies has been terrible in this second quarter. Look at the economic collapse in the United States. Many would say that it was foreseeable that these very steep falls would occur. Let us remember that in the second quarter we witnessed an almost total paralysis of economic activity due …

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HIPAA, telehealth, and Remote Working: Risks for Healthcare Workers

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The pandemic has given rise to telehealth but concerns are managing the clinical and billing staff remotely. The COVID-19 lockdown has forced many organizations to consider remote working to keep them operational. However, various HIPAA regulation specialists and representatives from law firms dealing in medical-related lawsuits have raised their concerns over the practical viability of …

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The AI Difference in Revenue Cycle Management

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With the help of Artificial intelligence (AI) any company or organization can maximize their income and workflow in their revenue cycle management system. Artificial intelligence was a dream before but over time it becomes a reality and it brings a revolution in many industries especially in the healthcare industry. Artificial intelligence is the most powerful …

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COVID-19 and the Use of Masks: Malpractice Risks for Medical Practices

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As we all know that COVID-10 is primarily a respiratory disease and the spectrum of infection with this virus can range from people with various symptoms. But people generally with strong immunity may not have reported any signs and symptoms for COVID-19.  According to the current knowledge, it is transmitted between people via respiratory droplets …

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