Workers Compensation Claims Boon or Bane? – Medical Billing Process of Filing These Claims

Workers’ compensation has been a much debated subject and has been traditionally viewed as a liability for the company. However new ways of filing claims and with streamlining of various medical billing processes for such claims, it can be an asset which can boost employee morale and thus increase the productivity along with assistance in […]

The Financial Importance of Timely Medical Claim Submission

The importance of timely claims submission is not lost on physicians or their staff and is an integral part of the revenue cycle management (RCM). The dynamic nature of the health industry and the reforms has further exacerbated the already volatile situation when it comes to claim submission, denials, and re-submissions. There are numerous factors […]

How crucial are certain adjustments while posting payments?

While it is true that payment posting is merely an exercise of recording the actual claim realized against patient account concerned, in reality its scope extends beyond that. Far from just being an accounting exercise, payment posting has evolved into an indispensable tool for analyzing and augmenting revenue generation from medical claim realization from medical […]

Factors Affecting Hospital Employment and Physicians’ Revenue

There has been an increasing trend in the healthcare industry where physicians are opting for hospital employments and the reasons and repercussions of these seem numerous. It cannot be argued that there are many positives for ‘being your own boss’ in a private practice. However, due to numerous reasons and changes taking place in the […]

The Primary Barriers in Physician Billing and HIT Adoption

Physicians and healthcare provides across the country are slowly but surely adopting EHRs or Electronic Health Records as a part of the recent health reforms in the United States. Moreover, it has been reported by the Centers for Disease Control and Prevention (CDC) that there has been a substantial increase in the adoption rates across […]

Increasing Impetus on Physician Reimbursements Becoming Value-Based

Both federal and private payers are shifting compensation from volume to value of services. According to American Medical News one of such payers is UnitedHealth Group who is to start offering approximately 50- 70% of its physician’s bonuses for reaching cost and quality targets and/or participating in new care models. Increased numbers of physician practices […]

Increase revenue by improving billing functions

The excessive administrative work healthcare organizations are having to deal with due to reforms in the US healthcare has begun to take its toll on the revenue of healthcare organizations across all the states of the US due to several reason, like claim denials by insurers and hospitals involved in increased non-clinical activities like claim […]

Improving Patient Collections via Medical Billing

If the insurance-driven nature of US healthcare is leaving care providers to sort out administrative issues to ensure successful claim submission and reimbursement is one side of the problems US healthcare providers face, the other side is patients unwilling or unable to pay the share of the medical bill that’s not covered by their insurance, […]

Revenue Management & Being Vigilant amidst the impending Medicare backlash

“Although, physicians can expect their Medicare reimbursements to be unhindered at least for another year or so, they need to equally vigilant with their medical billing, coding, submission, realization, and the Revenue Cycle Management so as to be sure of not letting their Account Receivables (A/Rs) beyond the expiry of the current window for Sustainable […]

Medical Reimbursement Issues Push Physicians to Flee Hospitals Triggering a Teverse Trend

For over a decade, US healthcare has seen hospitals integrating with primary healthcare physicians across all the states of the US, challenging the traditional notion of primary care as a separate set of services from hospital healthcare, to provide all types of healthcare services under one roof and ensure mutual benefits that help all the […]

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Revenue Cycle Management (RCM)