In the healthcare sector, where providers need to deliver excellent patient care while ensuring financial stability, insurance verification and authorization services play a critical role. Without accurate insurance details, claim denials can arise even after the...
Blog
Healthcare Revenue Cycle Management: New Trends for 2024
The healthcare industry is undergoing a radical change marked by the aftermath of the global pandemic, AI revolution, increasing patient expectations, and workforce shortage. In the eye of this...
Effective Strategies to Obtain Prior Authorizations
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every...
9 Key Medical Billing Steps to Boost Practice Revenue
The medical billing process consists of certain well-defined steps to ensure smooth and efficient workflow and maximized financial performance. The steps range from patient registration to insurance...
Step Up Accounts Receivable Management and Boost Your Bottom Line
Accounts receivable (AR) in medical billing is the total amount of money owed to a healthcare provider by patients, insurance companies, or other third-party payers. In a complex environment with...
Proven Strategies to Boost Revenue in Healthcare & Maximize Profits
It can be a challenge to run a successful practice while also providing high quality patient care. In order to thrive in an increasingly competitive market, your medical practice needs to adopt...
Medical-Dental Cross Coding: What Dental Practices Should Know
As a dentist you may sometimes be required by patients or insurance companies to perform medical-dental cross coding. This involves submitting dental procedures to a patient’s medical plan rather...
Why Outsource Insurance Eligibility Verification, a Key Step in Revenue Cycle Management?
Is insurance eligibility verification that important for your practice? Yes, it is. Most practices realize that a large proportion of their administrative costs are related to not performing proper...
CDT Code Changes for 2024
On January 1, 2024, the American Dental Association (ADA) released a total of 16 CDT code changes comprising 14 additions, 2 revisions, and several policy revisions. One highlight of this year’s...
Verifying Insurance Coverage for CPAP Therapy
Continuous positive airway pressure (CPAP) is the gold standard therapy for the management of obstructive sleep apnea (OSA). Most insurance companies, including Medicare, cover at least part of the...
Common Reasons Why Dental Claims are Denied
Claim denials are among the main concerns reported to the American Dental Association by dental offices. With complex procedures, rules, and intricate claim submission processes, dental billing can...