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...
Clearinghouses, entities that act as intermediaries in the healthcare system, play a crucial role in streamlining the data exchange between healthcare providers and insurance companies. They manage and process...
Medical claim denials are not just a challenge but a significant threat to the financial health of medical practices in the healthcare industry. Understanding and addressing these denials is...
Revenue cycle management (RCM) is a complex system with many moving parts, and expertly managing them all is crucial for any healthcare practice aiming to maintain financial stability and...
Value-based care is transforming how healthcare prioritizes patient outcomes by focusing on the quality rather than the quantity of care delivered. Understanding this shift is crucial for medical billing...
Integrating Artificial Intelligence (AI) into healthcare is not just a trend; it’s a profound shift transforming every facet of the industry. A recent hearing before the U.S. Congress’s Joint...
The proposed American Privacy Rights Act of 2024 could significantly change the healthcare field as we know it. As medical billing professionals, it’s crucial to understand how this legislation,...
As the healthcare industry becomes increasingly digital, the protection of patient information has become a top priority. Cybersecurity threats in healthcare have become more sophisticated and frequent, making it...
In the past, healthcare was often focused on treating diseases rather than people. Patients were viewed as passive recipients of care, rather than active participants in their own health....
Telehealth has continued to be an important part of healthcare delivery in April 2023. Here’s an updated version of the blog post on Telehealth: Telehealth, also known as telemedicine,...