How To Verify A Patient’s Insurance Coverage Quickly?
The cost of quality healthcare and health insurance continues to increase in the United States. This prompts some individuals to choose health insurance programs that might not necessarily meet all their needs. Worse still, they might not be aware of certain coverage gaps when they seek out necessary services from practitioners like you. This simple pattern alone can increase your chances of experiencing a denied claim or other complications that can interrupt your once consistent revenue stream. One way [...]
What Is Payment Posting In RCM For Medical Billing?
Patient responsibility costs and other out of pocket costs continue to rise throughout the United States. This can sometimes lead to delays in payment or failure to pay for services rendered. A patient who pays their co-pay, co-insurance costs, prescriptions, and other out of pocket costs in a timely manner, make it easier to close a claim cycle at payment posting. Also known as “Cash Posting” Payment posting is typically done in one of two ways. The one that [...]
How To Bill For Telemedicine & Get Reimbursed
Telemedicine seems to be part of the “New Normal” and seems like it’ll stay that way. This is thanks to an impressive success rate for helping to provide a wide range of patients with basic care and information without having to come into the clinic. Though getting reimbursed for telemedicine or telehealth visits presents a little bit more of a challenge for practitioners. Especially solo or small practices that might not have a large administrative staff to rely [...]
What is A Single Case Agreement (SCA) For Out Of Network Providers?
Sometimes medical and mental healthcare providers find themselves outside of a particular patient’s insurance coverage network. This can be frustrating for you as the practitioner, as well as the patient who is relying on your care. In some cases, it might simply be a matter of the client changing jobs, and insurance providers. This can be a serious issue for a patient who is relying on your continued care. In an out of network scenario like this, it might [...]
How To Choose A Medical Billing Company?
In recent years, an increasing number of medical institutions and healthcare practices of all sizes have been turning to outsourcing their medical billing needs, rather than tasking them to their in-house administrative staff. While this trend is increasingly popular with small practices and solo practitioners, even larger clinics have realized the benefits of third-party medical billing services. Not only does outsourcing free up time for you or your administrative staff to focus on patient care, but it also helps [...]
What Is Medical Credentialing & How Does It Work?
Medical credentialing is a professional process that helps to establish and maintain effective standards throughout the medical community. Its central goal is to promote patient confidence and ensure the highest quality of care. Though it also plays an important role in verifying a practitioner's license, their education, and streamlining other important information necessary to provide services and work with insurance companies. An organization confirming an individual’s medical credentials will typically contact the certification boards and licensing agencies. This might [...]
What is 99072 CPT Code & How It Helps ABA Therapy Businesses?
With the advent of COVID-19 and other public health concerns, businesses and medical practitioners are turning to telehealth models to provide patients with basic treatments, without having them come into the clinical setting. One of the biggest success stories of the telehealth trend has been for Applied Behavior Analysis practitioners. Many ABA practices were quick to adopt a telehealth model to serve clients and prevent interruption to care. With the rules of patient involvement always in flux regarding PPE [...]
Ways To Improve Your Practice’s Revenue Cycle
Medical billing and claim payment are a critical stage of the revenue cycle. Even the smallest of errors in either can lead to major interruptions in your practices stream of income. Correcting a problem once it has occurred further takes away more critical resources that would be better spent treating patients or expanding your practice. The following steps will help you improve each step of the revenue cycle. Verifying information and insurance coverage as part of the scheduling process. [...]
Which Is Better Outsourcing Or In-House Medical Billing?
Medical billing plays a critical role in the success of any medical practice. Medical coding errors, problems with data collection, discrepancies, inefficient analytics, and inconsistent audits in the medical billing process can have significant repercussions in the revenue stream. Claim denials, claim rejections, and delays can also cause an inconsistent revenue stream, which can hamper the growth of your practice. Many solo practitioners and small practices choose to either hire an in-house administrative staff or outsource their medical billing [...]
Benefits Of Outsourcing Medical Billing Services
Small practices and solo practitioners of all specialties are faced with the challenge of having to wear a lot of different hats throughout the course of any given week. This includes critical things like providing patient care, developing treatment plans, scheduling, and maintaining other important administrative chores. Among the most important of all administrative tasks is effective and efficient medical billing practices. Unfortunately, for a lot of small practices things like medical coding, claim creation, and payment remittance are [...]
