In the intricate world of healthcare, insurance claim denials can throw a wrench into the smooth operation of medical practice. A denied claim isn’t just a setback—it’s a missed opportunity for a healthcare provider to get compensated for their services, which can impact the practice’s financial health. But what exactly are insurance denials in medical …
Top 10 Reasons for Insurance Denials: How to Avoid Read More »
Medicaid is a government-funded healthcare program that provides medical assistance to low-income individuals and families in the United States. With over 70 million people enrolled, it’s crucial for healthcare providers to become credentialed with Medicaid to expand their patient base and improve access to healthcare for those who need it most. In this comprehensive guide, …
Credentialing With Medicaid: A Comprehensive Guide Read More »
In today’s digital age, healthcare providers must ensure the security and privacy of patient information to avoid costly penalties, legal ramifications, and damaged reputations. The Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 to protect the confidentiality of medical records and personal health information (PHI) and regulate electronic transmission. HIPAA compliance is …
HIPAA Compliance in Medical Billing: A Comprehensive Guide Read More »
Medicare and Medicaid billing are essential components of healthcare revenue generation for providers. However, navigating the complexities of these billing systems can be challenging and lead to lost revenue if mistakes are made. In this blog post, we will discuss tips and strategies for successful Medicare and Medicaid billing to help healthcare providers maximize reimbursement …
Medicare and Medicaid Billing: Tips and Strategies for Success Read More »
Introduction Medical billing is a critical process in the healthcare industry that ensures healthcare providers receive timely payment for their services. It involves submitting claims to insurance companies, government programs, and patients to recover the cost of services rendered. Medical billing companies can help healthcare providers handle the complex and time-consuming billing process. However, choosing …
10 Questions to Ask Before Choosing a Medical Billing Company Read More »
Medical billing is a complex process that involves multiple codes, regulations, and policies. One of the codes used in medical billing is CO-45. This code is used when a medical procedure or service is considered experimental or investigational and is denied by insurance providers. According to the Medical Group Management Association’s (MGMA) 2020 Practice Operations …
The clean Claim ratio is the average number of the first submission cleared claims. An average of 95 percent or above is an excellent claim clearing ratio. If your clean claims ratio is below 85 percent, your staff is spending a lot of time identifying denial reasons, communicating with insurance companies and resubmitting claims. The …
How A Medical Billing Firm Help To Boost Clean Claim Ratios? Read More »
Knowing your financial metrics and utilizing the data you acquire to boost practice income is key to building a successful financial future for your medical business. Effective revenue cycle management with medical billing and coding companies includes a lot of efforts to increase collections. The net collection rate of practice is fundamentally a performance statistic; It assesses …
Improve Net Collections with Medical Billing and Coding Companies Read More »
The relationship with your medical billing company needs to be a true partnership, as you are trusting medical billing service companies to increase your cash flow, revenues, and patient satisfaction to an extent. The practice depends on the medical billing company’s expertise, workflows, and professionalism to become profitable. If the medical billing service companies show negligence in …
Why BellMedEx Stand Out From Other Medical Billing Service Companies? Read More »
Getting payment from the services you provide is mandatory to run a medical practice, whether through insurance claims or out-of-pocket payments from patients. Over time, this process can be tedious and annoying, especially if payments are delayed. It is crucial to have a best medical billing company that can make the reimbursement process go …
Improve Patient Collection with Best Medical Billing Company Read More »
