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How to Prepare Your Practice for Medical Billing During a Disaster

The U.S. recently faced back-to- back major hurricanes. Texas and Florida had regions that wereunderwater for days. Several other natural disasters caused serious problems for medicalfacilities. When medical providers are inundated by natural disaster victims, medical claimsprocessing is the last thing on their minds. There are steps health-care facilities can take ahead oftime so they do not lose revenue for their hard work. Preparation should include a plan for how providers will collect information and keep it safe.Medical billing software can help quickly capture patient information and send it electronicallyto the medical billing clearinghouse. Employee portals on their website can

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Medical Billing Mistakes That Impact Healthcare Revenue

The health-care revenue cycle involves more than just mailing out bills and collecting payments.In fact, one of the most frustrating aspects of running a health-care organization can be trackingclaims throughout their life cycle. An efficient revenue cycle, along with the right claimsprocessing software, can keep things running smoothly. Working with a medical billingclearinghouse can be the first step in ensuring medical claims processing goes smoothly. Here’show to avoid some common mistakes. Understand Revenue Cycle Management The revenue cycle is like a health facility’s circulatory system. It requires that several complexprocesses function together for the overall health of the organization. Providers

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Why Many Medical Claims Are Rejected on First Submission

Rejected medical claims cost you time and money. However, medical claims processing doesn’t need to be so difficult. Getting a medical claim approved on first submission will make life easier for everybody. Most insurance companies know that if they deny a claim right away, the odds are that they will never have to pay it. These are for-profit businesses, after all. So how do you make sure all of your I’s are dotted and your T’s crossed so that the insurance company can’t reject your claims? In this article, we’ll explore why medical claims are typically rejected on first submission

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Why You Need to Secure Your Claims Processing

Health insurance has been a highly debated topic over the past few years. With the Affordable Care Act, we have more insured Americans than ever before.  With more people using various forms of health insurance, we also have more insurance claims to file. This often means that medical associations and individual practitioners are getting slammed with more and more paperwork. Medical billing can be overwhelming. Medical claims processing can be a stressful ordeal, so let us help you figure out what you need to know. How medical claims processing works We live in a world where technology is expanding at unbelievable rates.

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How Technology Improved Medical Claims Auditing

When it comes to technology, perhaps no industry has been so helped by the advent as the healthcare industry.  In particular, the claims audit process has evolved leaps and bounds with the development of software for the job. Processing various claims by hand is tedious, painstaking, and frankly, takes too much time out of your day. In the healthcare industry, there are more things to worry about than audits – but how can you when they take up most of your time? With the right software, you’ll be on your way to rearranging your priorities while still maintaining the accuracy

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How Medical Claims Processing Software Lowers Costs

Medical claims processing can be a costly and time-consuming chore for today’s health-care and medical professionals. It’s a daunting task, but it must be done accurately and efficiently. Here’s the good news — today’s medical claims processing software is easier to use and more effective than it ever has been. The added bonus? It actually lowers costs. Manual Claims Management Costs More Organizations that are filing medical claims manually are spending $4 more per transaction! Depending on the size of the organization that really adds up quickly. Once you factor in the cost of labor on top of that, the costs

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Medical Claims Processing: How the Right Medical Claims Processing Increases Profit

These days, more and more people seem to be noticing – and questioning – their doctor’s medical claims processing methods. But figuring out how your practice can cut down on medical billing errors is only a part of the process.   When determining how to streamline the business side of your practice there is a lot to think about. In this post, we’re going to clearly outline how the right medical claims processing can increase your bottom line. It can even prevent your patients from challenging your medical bill.   1. Make Sure You Know Each Insurance Policy’s Details Your

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Medical Billing Software: How to Close the Loopholes in Your Medical Claims Billing

Recent findings have proven that medical bills are among the leading causes of bankruptcy. But the high costs of staying healthy aren’t just tough for your patients – they can also be a financial strain on your practice.  In this post, we’re outlining the best ways to close the loopholes in your medical claims billing by pointing out common errors and the best ways to prevent them by using electronic billing and tracking software, talking to staff, and more. You can’t afford to skip this article.  Tip 1: Stop Pushing Paper It’s easy to make mistakes in your medical claims

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Medical Claims Processing: How to Pick the Best Medical Claims Processing Software

By the year 2024, nearly $1 out of every $5 will be spent on healthcare in the United States. If you’re a healthcare professional or part of a medical association, you’ve likely struggled with the most effective way to handle your billing. You’ve also wondered how to grow your business.  The right medical claims processing software can help to streamline every aspect of your business. How do you know if you’re selecting the right option?  Here, we’re sharing with you the top 5 things your medical claims processing software should be able to do for you. 1. Meet The Needs

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Medical Claims Processing: 5 Tricks to Easily Streamline Medical Claims Billing

Is the medical claims billing process a painful one for your practice? It doesn’t have to be. Taking a few simple steps to simplify medical claims billing can drastically improve your collections and even increase your practice revenue. If you’re ready to make this process easier, check out the following 5 tricks below! 5 Tips to Streamline Medical Claims Billing 1. Take Inventory First, take an inventory of where you are. This way, you can establish goals for, and periodically analyze, the progress and status of your accounts. You’ll want to do a periodically analyze the progress and status of

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Medical Billing Software: How Do I Spot Medical Billing Errors?

Medical claims can be difficult to understand. When a patient has a serious health condition, there may be several provider, specialists, and medical facilities involved in their care. Bills can be loaded with abbreviations and medical terms that the average patient may not be familiar with. It’s important to arm yourself with the confidence to question a potential billing error.   The first step in questioning a medical claim received for services is to make sure you review each detailed charge. If you receive a summarized statement, you may need to request an itemized bill. Read through the dates of

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Medical Billing Clearinghouse: What You Should Know Before Challenging a Medical Bill

Many patients have higher deductibles with their medical plans today than they did in the past.  This means they have an interest in paying closer attention to the medical claims they receive.  While many healthcare providers provide payment options intended to help the patient, before challenging a medical bill there are some key issues to keep in mind. First you will want to ensure that you clearly understand all the charges. This means you may need to ask for a detailed bill, showing every service performed by your provider. The line item bill should also clearly indicate others the provider

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Medical Billing Clearinghouse: Electronic Health Record Use Adopted by an Increasing Number of Practices

Physicians and healthcare providers are continuing to invest in the use of medical claims software systems. According to a survey conducted by the consulting firm Software Advice, they are doing so to increase efficiency for medical staff and for their patients. The survey found that 35 percent medical claims software users indicated that they are investing greater amounts in their systems than in previous years. One major reason is the desire for mobile access to patient information. Medical billing software partners are able to keep up with technology and provide patient portals for prescribing medication, managing lab results, and communication. While

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Medical Billing Clearinghouse: What Can I Gain by Using Billing Software? What Can I Lose If I Don’t Use It?

  Most healthcare providers spend years learning how to build a successful medical practice and focus on providing top notch patient care. Yet, sometimes ignored, medical claims, is an extremely important component of your business. Billing challenges can slowly drain your financial outcomes and become a serious distraction for office staff. The business side of your healthcare practice can be improved substantially with the implementation of a medical claims software. Working with a billing partner allows you to remain focused on patient care, while they handle the burden of worrying about insurance companies rules and constantly changing coding standards. It’s

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Claims Processing: Could My Claims Be Returned by the Insurance Company? Why?

Claims can be returned for a variety of reasons. The most common cause for a rejected claim is missing or inaccurate information. For example, errors in patient data such as the date of birth, age, sex, address, or name will cause an immediate return. Then there is provider information and insurance identification numbers, which can be easily and unintentionally misrepresented. When the insurance company payer receives a claim, they check to make certain the patient is covered by the policy and all treatment codes match the appropriate diagnosis. Sometimes preauthorization records, referring physician identification numbers, or evidence of medical necessity

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