Artificial Intelligence (AI) is rapidly transforming healthcare, from diagnostics and treatment plans to the management of medical billing and revenue cycle processes. However, while AI offers exciting new possibilities,...
Medical billing is no longer just about claims and codes—it’s about intelligent automation. Enter agentic workflows: AI-powered agents that operate like human staff, but faster, smarter, and more efficient. ...
Before you plug in any AI or automation tool, there’s one thing you need to be sure of—your data is clean. When using technology to augment your medical billing...
Revenue Cycle Management (RCM) isn’t just about moving numbers around. Efficient RCM is about creating stability, unlocking growth, and giving organizations the space to focus on what they do...
Accounts Receivable (A/R) Aging Reports are vital for strategically growing your medical billing company. They offer detailed snapshots of unpaid balances and delayed reimbursements when implemented. Tracking these metrics...
As a medical billing company poised for growth, understanding and leveraging the right Key Performance Indicators (KPIs) can be the difference between stagnation and expansion. By tracking these metrics...
Behavioral health disorders are increasingly prevalent among children and adolescents, with the CDC reporting that nearly 1 in 5 children experience a mental or behavioral disorder. As a group...
Effective medical billing practices play a pivotal role at the heart of every obstetrician-gynecologist (OB/GYN) practice. For your practice to thrive financially and stay compliant, you must continuously streamline...
Managing general medical billing can be complex enough, but if your medical billing company provides behavioral health billing, you’ve certainly seen that this specialization comes with its own unique...
In the fast-paced world of healthcare, medical billing is a critical behind-the-scenes component that ensures doctors are compensated for their services. Accuracy in this area is not just about...
On December 4, 2024, a significant development reshaped the healthcare industry landscape: a $2.8 billion settlement with the Blue Cross Blue Shield Association (BCBSA) and its member companies was...
As your medical billing company grows, maintaining the quality of your client interactions becomes both a priority and a challenge. When executed with a clear strategy, offshoring streamlines your...
Annual influenza season in the United States begins in October and runs through May; however, according to the CDC, the peak season is during the winter months. There are...
Medical billing is a critical component of healthcare revenue cycle management, and choosing the right outsourcing model can significantly impact your company’s efficiency and profitability. Typically, there are two...
The release of the Fiscal Year (FY) 2025 ICD-10-CM code updates brings a fresh set of changes for healthcare professionals, particularly for medical billers and billing companies. Starting October...
Mid-revenue cycle management (RCM), which refers to the process of managing patient care and financial processes between the point of service and the final payment, plays a crucial role...
Durable Medical Equipment (DME) billing plays a vital role in healthcare revenue cycle management. DME billing involves submitting claims for medical devices and supplies that patients use at home,...
As we enter the fourth quarter of the year and approach 2025, the medical billing industry must stay updated on upcoming policy changes. The Centers for Medicare & Medicaid...
The Centers for Medicare and Medicaid Services (CMS) has released a comprehensive report detailing its enforcement efforts under the No Surprises Act (NSA). Since its implementation, the NSA has...
As a medical billing company, you’re aware of the pressures and complexities of efficiently managing your revenue cycle. The challenges of maintaining cost-effective operations while adapting to regulatory changes...