Avoiding Claims Denials for OB/GYN

Denials are a thorn in the flesh for most medical practices. But there are some specialties that have an exceptionally high denial rate. OB/GYN is, unfortunately, one of them. Denial rates in this specialty are the highest at a whopping 22.42%. Denials are an everyday occurrence for most OB/GYN centers. OB/GYN billing and coding comes […]

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What is an Ideal Denial Percentage?

Ideal Denial Percentage What is an ideal denial percentage? Yes, there will always be some denials A denial rate demonstrates the percentage of claims that payers deny within a certain period of time. This often-overlooked percentage offers a tangible numeric insight into the overall effectiveness of revenue cycle management. The denial rate represents the percentage […]

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Revenue Cycle Management (RCM) Tips To Shorten The Claim Length

Revenue cycle management (RCM) is the commercial process that uses medical billing software, which healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. In simple terms, it refers to the process of tracking the payments for the services rendered at a provider’s office, from […]

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How To Explore Untapped Potential Of Your Practice?

Today, the majority of deaths worldwide are due to four noncommunicable diseases such as cancer, cardiovascular disease, type 2 diabetes, and respiratory diseases; most of these deaths are potentially preventable. Four sets of behaviors contribute to the high and growing burden of noncommunicable disease: consumption of tobacco, alcohol, and highly processed foods, as well as […]

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How Can You Reduce Your Costly Billing Mistakes?

Out of 10, every 8 medical claims are rejected because of the medical coding errors. For end number of reasons, the primary ones are physician has wrongly transposed a CPT or ICD-10 code or inserted the wrong two-digit modifier at some time or another, and insurance companies are quick to let you know you if […]

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Guiding Principles Every Physicians Should Know About Patient Environment

Not to be confused with traditional ideas of patient care, patient-centered care pushes the boundary of healthcare to create systems and processes that are truly custom-made to enhance the health, well being, and treatment plans for both health professionals and patients. Recently, the Mountain State Healthcare Alliance (MSHA) received the 2012 National Healthcare Award from […]

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Reduce the Denial Rate for your Urology Practice

Claims denial is one of the biggest reasons that numerous urology practices are shutting their businesses. Not getting paid for the services provided may lead many physicians into depression. That’s why having dedicated urology medical billing services that efficiently scrubs each claim is a necessity. As a practicing physician reducing claim denials should be an […]

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Avoid Denials For Your Orthopedics Billing

Getting paid by insurance timely and accurately in any medical specialty including orthopedics is a vigorous process. The introduction of new billing and coding rules is a regular part of all practices, and billers and coders must aware of all coding updates, policies, and conventions required for coding aptly for accurate reimbursements. There are numerous […]

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How You Can Contribute To Claim Denial Management Process?

Denials tend to evoke frustration and a loss of motivation to work. Hence it is essential that strategies are designed to manage the denial management process effectively and use it to improve the revenues of medical practice. The claim denial management process is one of the most vital aspects of a revenue cycle management process. […]

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Radiology Billing : Better Management Can Lift Revenue and Decline Your Denials

Radiology is the most fragmented specialty with primary patient care and consultation as the major focus. A radiologist plays a role as a consultant covering various medical imaging for other specialty diagnoses. A radiology practice is sequenced according to the geographic area, radiologist struggle with a different universal set of medical practices. It’s cumbersome for […]

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