Breaking Down the 7-Step Healthcare Revenue Cycle
This article goes over each of the processes involved in the healthcare revenue cycle, what they entail, what might go wrong, and how to avoid errors.
Complexities of Dental Billing
There are multiple complexities involved in dental billing, this article outlines major complexities in dental billing and how to overcome them.
The Best Resources and Courses for Dental Admin Professionals
Like all professionals, dental administrators and office managers want to stay up to date with the latest developments in their field. There are plenty of podcasts, blogs, online courses and other resources for news and advice in dental admin responsibilities.
7 Must-Have Billing Tools for Your EHR
A good EHR with the right billing tools can significantly aid in the management, consistent cash flow, and growth of your medical practice. Here are 7 billing tools your EHR should have.
Dental Claims Processing Best Practices
Inefficiencies in the submission of insurance claims cost many dental practices money. This article highlights the dental insurance claim process and best practices for dental professionals.
Top 5 Dental Claims Mistakes
Submitting accurate dental claims is crucial to improving collection rates and boosting cash flow. The key to preventing claim denials is to understand their causes.
Secondary Claims Processing at Your Fingertips
Secondary billing is exactly as the name suggests, the process of billing a second policy or payer once the primary claim has been processed and the reimbursement posted. Learn how to simplify the process with software like Apex EDI.
Why Was My Claim Returned?
The primary responsibility of a medical biller is to properly file claims to ensure that the medical provider is reimbursed for services rendered. Unfortunately, it is not uncommon for billers to make human or electronic errors while entering claim data. As many as 80% of medical bills contain one or more errors that increase the risk of denied claims, and each denied claim means lost revenue. Billers have to deal with two essential elements of medical care – health and money. For this reason, they must check to ensure they make as few mistakes as possible while filing claims. However,
How to Reduce the Margin of Error in Your Claim Processing
Gaps in claims management strategies lead to frustrating denials. In recent years, the margin of error for medical billing has been as high as 70%. No wonder so many patients are challenging their medical bills. They have lost trust in the insurance claims management process. These challenges cost patient trust, delay payments, and require more investment by you and your staff to get paid for the care and treatment you have provided. What are the best ways to reduce the margin of error in your billing process? Follow these tips to help you master the insurance claims management process and collect accurate
Medical Billing Mistakes that Impact Healthcare Revenue
An estimated 49% to 80% of medical bills contain at least one error, and that equates to revenue loss. Every error increases the risk that claims will be denied, and denied claims cost time, money, and resources to correct. Accuracy is critical in every step of the billing process to avoid such loss. Common medical billing mistakes can wreak havoc on your bottom line and lead to frustration for you and your patients. Using a reliable clearinghouse is an optimal solution to help minimize human errors and other mistakes that lead to long revenue cycles and denied or rejected claims. By implementing an electronic system, common paperwork errors are avoided altogether. Electronic claim scrubbing will automatically check for errors before sending them to insurance companies, so they can be corrected quickly without the risk of causing a rejection or denial. Let’s look at how to
Get Paid Faster: Why Time is Money in Claims Management
Providers are spending millions of unnecessary hours on manual billing tasks, costing them billions. From the moment your patient walks through the door, the clock starts ticking on the claim process. Medical providers aspire to help and heal, not push paper. So why spend so much time and energy on medical claim processing? It is a necessary and time-consuming task that requires accuracy and attention to detail, but too often, it consumes valuable resources. Simple clerical mistakes cause errors, denials, and slow turnaround time; and losing time means losing money. Manual claim processing unnecessarily causes a double hit to your bottom line, increasing labor demands and
Frequently Asked Questions about Medicaid Billing
Medicaid was designed to make healthcare affordable to the underprivileged. It is also beneficial for healthcare service providers as it helps supplement their revenue. However, healthcare providers are tasked with processing their patients’ bills and claiming payment from the relevant authorities. This process can seem complex, and clinics often have a lot of questions. Here is an overview of some of healthcare providers’ most frequently asked questions about Medicaid billing. How is Medicaid Regulated? Both the State and Federal governments regulate Medicaid. On one hand, the federal government is responsible for governing the program through the Department of Health and Human Services (DHS).
Denial Management. What Is It? How Does It Work?
The rate at which medical claims get denied by insurers is pretty concerning. According to a recent analysis, the average claim denial rate increased by 23% compared to four years ago. For medical practices, this means unpaid services, resulting in lost or delayed revenues, hurting the financial health tremendously. But before you blame insurers for denying your claims, take a step back and look at your denial management strategy. The fact is, most denials result from wrong information or misinformation in your claims, forcing the insurer to interrupt your revenue flow. What’s more perplexing is that not all organizations commit to following up their claim denials,
What Is Balance Billing? Is It Ever Legal?
There are numerous types of bills that are applicable in medical practice. The burden of payment can fall on the patient or their medical insurance provider. Some are lawful, while others are not. Therefore, it is important to know about the essential payment concepts and know when they are applicable to avoid facing lawsuits and fines. One of such concepts is balance billing. What Is Balance Billing? Balance or extra billing is normally the difference between what a patient’s insurance provider is willing to pay based on the cover they offer and what your facility charges the patient for the services they
5 Billing Tips for Dieticians & Nutritionists
Diet and nutrition providers that are looking to leap into billing with insurance may not know the best place to start. After all, today’s insurance landscape is extremely complicated and can feel daunting if you are not familiar with the process. Many specialists who previously did not accept insurance are beginning to and more and more insurance plans are bringing dietician services under their umbrella of coverage. The realization has been that accepting insurance is a quicker way to get paid for services, it helps make services affordable for patients, and brings in a higher number of patients than without. Ultimately
