Revenue Cycle Management

Healthcare organizations and caregivers race against all odds to boost revenue and improve quality care. And professionals adopt a myriad of strategies and approaches for the same. However, a significant roadblock in delivering effective care is the lack of faith...

Healthcare credentialing refers to the process where medical organizations verify providers' credentials to make sure that they have the necessary licenses, certifications, and skills required to provide proper care services for patients. It is also known as physician credentialing, medical...

Credentialing in medical billing is mandatory, and insurers require health practitioners. It is so that health providers can serve insurers' customers after verifying themselves.  

The manual process of healthcare credentialing is tedious and time-consuming. Considering the paperwork involved, it can take 2-3 months to complete the physician credentialing process. Complex applications, arduous reviewing, stringent background checks, cross-checking procedures, and validation of licenses and certifications...

An integral part of the medical billing process – credentialing – is becoming a trusted healthcare provider with an insurance company. If done correctly, it will allow the healthcare organizations to be listed on an insurer's network. Every insurance provider forms a...

Credentialing for physicians is a process that verifies that doctors and other medical professionals are sufficiently trained and have all the necessary certifications to provide the specific healthcare service to patients. This process is integral toward maintaining care standards and...

Healthcare Credentialing is an uphill task. With the growth of technologies like EHR and mHealth, healthcare IT experts have developed various applications to manage and simplify complex healthcare tasks. However, earlier, it was mainly a manual process, but these processes are automated...

Patients go to doctors without much knowledge about their qualifications and certifications. Sometimes what meets the eye may be deceptive. Doctors may lack the certification required to render certain care services, which could pose a huge risk, besides going against...

‘Tell me about your experience and educational background,’ - does this sound familiar? Chances are you must have faced this classic job interview question at least once in your lifetime. A person or business with good credentials finds favor in...

A medical billing solution provides enormous convenience for a healthcare provider regarding administrative activities. Medical billing procedures involve complex steps that need to be done right for the providers to get paid on time.  

Pharmacists often have to help people understand prescriptions and offer guidance about dosage and alternatives. Additionally, they must also handle day-to-day operations like managing their inventories, preparing prescriptions, and looking after billing and insurance while adhering to regulations.  

If a claim is denied, your entire medical practice gets affected, and the medical billing management slows down. Physicians must receive payment for the hours of care services invested. Errors in medical billing systems can impact healthcare businesses' payment processing...

Healthcare management’s success depends on many aspects- care delivery, staff satisfaction, revenue growth, and more. However, revenue is an essential subject that providers are quite concerned about. And a lot depends on the hospital billing system. It’s the providers’ job...

Technology in healthcare is growing by leaps and bounds. Services as solutions like mHealth, electronic health records, patient engagement systems, and more are improving the healthcare industry today. Interestingly, providers also are investing in custom healthcare solutions that cater to their practice needs.    

As the world continues its fight against Covid-19, healthcare organizations are looking for innovative ways to mitigate recent challenges. From telemedicine to remote access, software solutions offer answers to address value-based caregiving. Among other things, medical billing processing needs to be designed to address...

Medical billing software enables healthcare organizations to digitize the activities in the billing process. Not only does it digitize, but it also helps providers consolidate medical billing and reduce overhead. Medical practice billing software optimizes non-medical administrative activities for healthcare...

The medical billing process in the healthcare industry is a heavy-duty job that involves a plethora of complex data on medical records, patient information, insurance claims, etc. All of these processes involve a mountain of paperwork and complexities for healthcare professionals...

Medical billing mistakes can be easily made, but have drastic repercussions on the overall profit of the healthcare organization. Returned claims with errors, denied claims, rejected bills, incorrect coding, and insufficient data are just a few of the many woes...

Healthcare organizations can reap immense benefits from an agile and efficient medical billing app. Automated coding and billing software relieves the healthcare staff to focus on clinical processes and medical treatment, focusing on increasing patient satisfaction. Medical billing apps are...

As healthcare systems brace for the present and future challenges, the reality lies in reassessment. Reviewing the system involves checking system efficiency, operational capacities, and billing accuracy. Patient needs require accurate and efficient billing processes, which can be achieved through...

As the medical care industry faces unprecedented challenges due to the Covid-19 pandemic, medical billing management has been exposed to its own set of dilemmas. As infections across the nation grow with the Covid-19 outbreak, the health and safety of...

Healthcare finance is often regarded as a controversial and confusing sector by healthcare organizations and entities. This dynamic realm is plagued with challenges and problems that affect physicians, employers and patients. Also, how insurers are redefining prior authorization protocols, and...

A major factor that complicates healthcare in the United States is the system of payment. Reimbursement for medical billing services is an elaborate process that includes multiple steps to be done correctly. It might take some days or weeks if...

Multiple layers of regulation have made American healthcare extremely complex. There is an elaborate, bureaucratic process for providers to enter and process patients electronic health records, fill out claims and finally get paid. On top of that, the covid-19 pandemic has...

The healthcare industry in the United States is complex, with multiple layers of regulations that are subject to changes. As a result, providing medical services and getting paid for them is often complicated. Healthcare revenue cycle management platforms (RCM platforms)...

Medical billing mistakes can be easily made but have drastic repercussions on the overall profit of the healthcare organization. Returned claims with errors, denied claims, rejected bills, incorrect coding, and insufficient data are just a few of the many woes...

The healthcare sector is a service-providing industry, where patients are at the epicenter. However, the revenue cycle forms an essential component of healthcare, where many providers struggle. Effective medical billing and reimbursement systems demand that healthcare leaders communicate well and...

The complexity of the healthcare industry in the United States is unlike anything seen in any other country. American healthcare is a meandering labyrinth of evolving regulations that hospitals must keep up with. In light of this complexity, it can...

The current practice management systems in hospitals and clinics deploy technology and tools to automate workflow, reduce costs and provide the best quality of care. Medical leaders are developing tools including patient engagement systems, healthcare reimbursement models, and more to improve quality...

Revenue cycle management medical billing starts with patients scheduling appointments for healthcare services. The patient is registered on the system, and all the information is stored as electronic health records. The patient payer data is then gathered for verifying the...

Revenue Cycle Management in the U.S healthcare industry has been gaining momentum over the last few years. With the growing popularity mHealth and integrated healthcare systems, providers are concerned about payment delays and denials. The traditional payment and reimbursement system lacked efficiency and...

In today's healthcare scenario, patients are seen as consumers. And if consumers are satisfied and happy with the providers’ services, then practice will flourish. Moreover, providers leverage intuitive tech solutions to engage these patients. Patient Portal in healthcare is a...

There is an urgent need, among the healthcare sector, for an overall organization and establishment of systematic processing and policy adherence. This is the key for healthcare organizations to stay financially stable and enduring. Revenue cycle management, in a nutshell,...