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Denial Management Processes for Healthy Claims

Revenue Cycle Management (RCM) and Denial Management in healthcare go hand in hand. With better and efficient denial management, US medical billing companies can achieve greater profits. Almost all healthcare facilities and billing companies use EHR ( Electronic Health Records ), today. It is time to update the RCM technology and software in order to support value-based care while decreasing possible revenue leaks. To avoid such leaks, medical billing companies must stop claim denials from happening. As per the survey conducted by the American Academy of Family Physicians (AAFP), 5 to 10% of hospital claims are denied. Like Mark Weber, Infor’s Senior Vice President of Healthcare Development says, it is essential to implement the best RCM & denial management in medical billing for improved operational efficiency. Let’s follow the following best denial management processes to produce healthy claims: Implement EHR: As mentioned earlier, most medical billing companies and Provid

Find the Best Anesthesia Billing Companies

Find the Best Anesthesia Billing Companies

How Outsourcing Patient Insurance Eligibility Verification Reduces Denials

‘Nip in the Bud’ — this proverb applies to everything and the healthcare industry is not an exception. Medical billing claim denials have increased in recent times due to new medical reforms, regulations & standards, and technology & software upgrades. Errors don’t just occur in medical billing functions alone. There is a possibility for such errors to occur very early in the process, which is insurance eligibility verification. As soon as a patient comes into a hospital, the first step that happens is the patient registration. During this stage and verification process, many mistakes can happen. Therefore, nipping these mistakes in the bud would be wise. It will help reduce denials at a later stage considerably. Partnering with offshore vendors is a great solution. Let’s learn their process of handling  insurance eligibility verification  to reduce claim denials: ·  Thorough Document Check:  The first and the foremost step that a reputed offshore billing company does as

Cardiology Medical Billing — Benefits of Outsourcing

Cardiology is a specialized field in the healthcare industry that involves a myriad variety of treatment services. In general, billing and coding cardiology requires expert knowledge as even a minor mistake can trigger huge claim denials. The introduction of new coding terminologies has made cardiology billing all the more complicated, resulting in the loss of a significant percentage of the revenue. Although there has been an increase in the average Medicare fees by 1.1%, cardiology has suffered a 2% reduction in the Medicare fees every year. Therefore, the earnings of cardiology practices have been affected furthermore. In this article, lets learn more about  cardiology billing  and how outsourcing can help incur such revenue losses: Expert Skillset: Cardiology is an intricate field and coding interventional procedures like electrophysiology, Computerized Tomographic Angiography (CCTA) and cardiac catheterization lab need utmost accuracy in coding. Therefore, cardiology med

5 Medical Billing Strategies to Maximize your Revenue Cycle Management

One of the primary goals that US medical billing companies should set and work towards it in 2019 is improving the efficiency of revenue cycle management. It is estimated that more than $100 billion dollars of revenue is left uncollected due to various factors like medical billing and coding errors, introduction of new medical reforms, and AR pileup. To avoid this situation and maximize revenue, it is necessary that US medical billing companies analyze the source problem and come up with new plans. This article discusses 5 important medical billing strategies that will help improve your  revenue cycle management : Enhance Front-office Operations: The first and the foremost strategy that medical billing companies should implement is improve their front-end operations. By carrying out all front-end services properly, billing companies can avoid the errors happening in the back-end operations. It is found that 90% of the claim denials are preventable as they are a result of impro

Common Mistakes in Medical Billing that Lead to High Accounts Receivables

The success of medical billing companies depends on their financial health. However, there are several factors that affect these companies’  revenue cycle management.  One of the main reasons is high account receivables that interrupt the cash flow. Amidst the new medical reforms, complicated billing and coding processes, training staff, and keeping up with the new standards, many medical billing companies struggle with their aging AR. They can improve their  account receivable management  by avoiding some of the common mistakes that lead to high account receivables: 1.  Ignoring Claim Denials:  One of the prime reasons for high accounts receivables is claim denials. Claims that are filed can be rejected by an insurance company for several reasons including, billing/coding errors, missing patient information, submission of duplicate claims, and delayed filing. It is important that the  account receivable management  team pay attention to the denied claims, analyze & corre

Why you Need to Outsource Medical Billing Service to India

The prime destination choice of most US medical billing companies to   outsource medical billing   and collections in India. The country has been the most sought-after destination by many for more than a decade. One of the main reasons for India being at the pinnacle of US medical billing is that it has immense knowledge on the field and provides unmatched medical billing and collection services to the clients. Even a recent survey has claimed India fetched   82%   votes for offshore outsourcing by US medical billing companies. In addition to providing back-end processes like customer support and data entry services, Indian medical billing companies have earned a great name by offering high-quality medical billing and coding, AR cleanup, and more with their state-of-the-art technology. There are other reasons that prove medical billing in India to be highly efficient. Let’s discuss them in detail: No Language Barrier:   One of the biggest issues that US medical billing companie

ARE YOU PHYSICIAN, ARE YOU STRESSED WITH YOUR REDUCING REVENUE CYCLE

ARE YOU PHYSICIAN, ARE YOU STRESSED WITH YOUR REDUCING REVENUE CYCLE E-care provides incomparable healthcare revenue cycle solutions to all their clients and has a verified track record of high performance of many years. Visit website to know more!  Revenue Cycle Management

Best Denial management Services in healthcare

E-care India is committed to decreasing lost settlements and denials with vastly proficient schemes and services intended to meet clients needs. Their denial management team will provide the finest solutions to clients, fastening their refund  process.   Denial Management In Healthcare

MEDICAL OUTSOURCING SERVICES

e-care India offers  medical billing outsourcing services  for healthcare providers. Our professionals specialize in providing - insurance verification, medical billing, Revenue cycle management and medical coding services. Discover how e-care India is helping to deliver better & more efficient health outcomes through their AR support and Medical billing experts. 

Why AR is important in medical billing?

E-care India assists its clients with account receivable management team, which help them in managing medical bills for receiving their revenues without any type of delay. Visit the website to know more.

Get a better and best medical billing services and make a good change in your RCM.

What is medical billing services? How can we find the best services for Medical billing? Where you will make your Revenue cycle management high? I have an answer to all these questions. Let me explain the Revenue cycle management process, Actually, it is a step by step process. The first one is Patients demographic entry. Demographic entry: The patient's details entry is called as a demographic entry. This includes patients personal details and insurance details. The personal details include the Social Security Network. Insurance Eligibility Verification: The eligibility of the insurance will be checked after the demographic entry. Whether it is government insurance or private insurance and insurance for what purpose, insurance validity date these are the things should be verified in this process. Medical coding: Medical coding is the work that will be done after the diagnosis it is the process of converting the diagnosis process into coding. That code will be passed to

Are you Know About The Account receivable management in healthcare?

The healthcare Account receivable management system plays a major role in medical billing service. There are some main key areas are said below. Legal ideas: Legal ideas incorporate an understanding and following state and government directions. The territory that has dependably been of the most concern is misrepresentation and misuse, particularly as to Medicare, Medicaid, and other governmentally supported projects. Contract discussion: Contract arrangement includes building up a budgetary association with oversaw care associations. Overseen care associations speak to up to 50 percent of the net income of most therapeutic workplaces. Complains arise: Building up a consistency program includes setting up a composed manual portraying the consistence arrangement and the Medical Office Code of Conduct. Most restorative office consistence arrangements incorporate both moral and lawful ideas. These are the key areas of Account receivable management . Then we see about the issues a

Success Giving Revenue Cycle management