Medical Billing

Wound Care

Understanding Wound Care: Types, Treatment, and Prevention

Effective wound care is essential in medical facilities specializing in the treatment of complex wounds that require special handling, procedures, and advanced technology. The goal of wound care in such facilities is to prevent, treat, and manage wounds to promote healing and minimize complications. Let’s discuss the different types of complex wounds, their causes, and …

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Outsourcing Medical Billing

Outsourcing Medical Billing in Alabama: Factors to consider

As the healthcare industry grows in complexity, managing medical billing and revenue cycle management (RCM) is becoming increasingly challenging for providers. This is especially true for small practices with limited resources. Medical billing requires extensive time and effort, and the complexity of the process can lead to significant financial losses for providers. It is not …

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Certified Medical Coders

The Importance of Certified Medical Coders in Maximizing Reimbursement

From the perspective of any professional medical biller, the importance of correct medical coding in getting paid appropriately cannot be overstated. Medical coding is the process of assigning standardized codes to specific medical diagnoses, procedures, and services provided by healthcare providers. These codes are crucial in the billing process and play a vital role in …

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What Does a Medical Biller and Coder Do

What Does a Medical Biller and Coder Do

Medical billing and coding are essential components of the healthcare industry. Without medical billers and coders, healthcare providers would not be reimbursed for their services, leading to financial instability for practices and hospitals. This article will explore the roles and responsibilities of medical billers and coders and their importance in the healthcare industry. Why are …

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GFE Requirement

New Study Shows GFE Requirement Reduces Surprise Medical Bills by 61%

Surprise medical bills can have a significant financial impact on patients who thought their insurance plan covered their medical services. This can happen when patients receive out-of-network services, emergency care, or unintentional referrals to out-of-network providers. To combat this problem, the US Congress passed the No Surprises Act in December 2020, which outlines new rules …

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Top KPIs

Top KPIs to Track in Your Revenue Cycle Management

Revenue Cycle Management (RCM) involves managing healthcare services’ financial aspects, from patient registration to final payment. It involves a series of interconnected steps that healthcare providers must take to ensure they are billing and collecting payments accurately and efficiently. Tracking Key Performance Indicators (KPIs) in your RCM is essential to ensuring the financial health of …

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ICD-10

Don’t Get Left Behind: Use This ICD-10 Checklist to Stay Ahead of the Curve in Medical Coding

ICD-10 is a medical classification system used for coding diagnoses and procedures. It stands for the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, and is maintained by the World Health Organization (WHO). ICD-10 contains a set of codes that represent medical conditions, diseases, injuries, and related healthcare procedures. The system provides …

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Outsourcing Medical Billing

Outsourcing Medical Billing: Why it’s Essential for Healthcare Providers

In today’s healthcare industry, medical billing is a crucial component of the revenue cycle management process. Healthcare providers rely on medical billing to ensure that they receive timely and accurate payments for their services. However, managing medical billing in-house can be a challenging and time-consuming task, especially for smaller healthcare providers. This is where outsourcing …

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effective medical billing

How to Maximize Your Reimbursements with Effective Medical Billing?

Overview Medical billing is a crucial aspect of the healthcare industry that requires meticulous attention to detail and accuracy. As a healthcare provider, you must optimize your medical billing processes to maximize reimbursements from insurance companies and other payers. Effective medical billing involves various strategies, such as proper coding, accurate documentation, and efficient claim submission. …

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Medical Billing Service Provider

Accurate Analytics: Finding a Skilled Medical Billing Service Provider

Introduction Medical billing is a crucial component of the healthcare sector, one of the most intricate and strictly regulated businesses. Medical billing is a multi-billion dollar industry with a market worth more than $200 billion. Additionally, up to 90% of medical claims are first denied, and the appeals process can take up to 180 days, …

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