Denail management Archives

Top 7 Insurance Claim Challenges Affecting Your Practice

Significance of Insurance Claim Submission Running a successful healthcare practice is much more challenging than delivering high-quality patient care services. Whether you are running a solo practice, a laboratory, a hospital, or a dental clinic, there are several things you need to get right, including insurance billing. Receiving accurate insurance reimbursements is considered the backbone […]

Significance of Claim Scrubbing in Medical Billing

What Is Claim Scrubbing? Claim scrubbing is a method of reviewing claims before a medical practice submits them to an insurance carrier. Claim scrubbing removes all the errors that might lead to claim denials. In the claim scrubbing process, the billing team checks the correctness of the Current Procedural Terminology (CPT) codes in your claims. This […]

Group Practices Remain Competent by Outsourcing Medical Billing

Medical Billing Challenges for Group Practices Group practice owners face an unprecedented number of challenges today, from adding or replacing providers; getting rendering providers enrolled; adopting new technologies; up to receiving an accurate reimbursement for delivered services. Any group practice’s success is reliant on strong Revenue Cycle Management (RCM) team, error-free & timely claim submissions, […]

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 […]

Improve cash flow by outsourcing billing in Optometry

Is your optometry practice getting your money’s worth with your in-house billers? Choosing the best medical billing service is a daunting task – Someone that you can trust with your process claims. If you are considering outsourcing your medical billing, and are still not sure about making the leap, here are reasons why you should […]

Telemedicine Expanding Access And Dictating Reimbursement Policies

While the clouds of uncertainty surround the Affordable Care Act and its assigned substitution, the American Health Care Act, legislators in Washington and around the nation are pushing ahead with the proposition to direct and repay administrations provided by the means of telemedicine. So, what type of impact these changes have on your income cycle, […]

4 Lessons your Account Receivable will teach you

Your Account Receivable (AR) is the heart of your practice pumping the necessary life into your practice. The volume of AR and its age could be telling a lot about your practice. An analysis of your Account Receivable (AR) could be the next step towards your future growth- the introspect is one factor you need […]

Are Common Accounts Receivable Problems Plaguing your Practice Collections?

Are there predictable and constant errors with your medical practice accounts receivable administration services that are confining your facilities income? If yes, then there’s no need to feel left out, as more than 40% active practitioners and their facilities in the United States are facing the same issues, which is directly plaguing their revenue collection. […]

Aiming for Clean claims in Optometry? Know how!

It is important for practices, including Optometry, to ensure the submission of clean claims for capturing and increasing timely revenues by identifying the causes for non-payment. It is essential that the staff is well-trained and possesses thorough knowledge of the billing and coding procedures of the Optometry practice. According to hmsa.com, A clean claim is […]

Avoid Denials by Separately Billing Refraction

$Avoid Denials by Separately Billing Refraction$

Revenues accrued out of optometric billing of patients covered by medical insurance are more than those realized by billing the ones covered by vision insurance. The reason is quite simple, there are more patients covered by medical insurance than by vision insurance. Moreover, when it comes to reimbursements, the amount realized from medical insurance is […]

Read our latest medical billing and RCM related blogs