The Critical Importance of Insurance Verification in the New Year The healthcare landscape is constantly evolving, and nowhere is this more evident than in the complex world of patient insurance. As the new year approaches, healthcare providers face a critical challenge that can make or break their practice’s financial health: comprehensive insurance verification. The Staggering […]
5 Reasons to Use Certified Medical Billers
Using certified medical billers saves physicians frustration while optimizing revenue cycle management. Their value in terms of highly accurate claim filings, successful appeals, and audit protection is well worth the investment for any medical practice. 1. Increased Reimbursement Rates Certified medical billers have extensive training in CPT and ICD-10 coding. Their expertise in assigning accurate […]
The Critical Importance of Denied Claims Follow-up
Are denied claims costing your practice money? The Impact of Inaccurate Claim Submissions You and your staff have put in long hours delivering top-notch care to your patients. However, if your medical billing staff isn’t putting in that same diligent effort, you could be losing significant revenue due to inaccurate claim submissions leading to denials. […]
The Critical Importance of Preauthorizations
Insurers don’t make obtaining preauthorizations easy, demanding substantial administrative time compiling patient histories, submitting claim forms, responding to information requests, and negotiating approvals. But skipping this burdensome process can lead to financial disaster. Alarmingly, 70% of claim denials result from lack of proper preauthorizations coupled with failure to subsequently appeal. Without prior approval certifying medical […]
2017 Medical Billing FAQs
Medical Billing FAQs Below are some common medical billing FAQs regarding the Quality Payment Program (QPP), Chronic Care Management (CCM), Telemedicine, and changes in coding that can affect your practice in 2017. Q: Can chronic care management be implemented in any medical field or specialty? A: CCM is intended to be used by the provider […]
