Human Element of RCM: Building Strong Teams for Financial Success

In the ever-evolving landscape of healthcare, providers face numerous challenges in ensuring efficient revenue cycle management (RCM). With increasing regulations, shifting payer dynamics, and the constant need to adapt to emerging technologies, healthcare organizations often find themselves overwhelmed. However, there is one key factor that remains indispensable in this complex environment: the human element of […]

Maximizing Reimbursements: Strategies for Effective Revenue Cycle Management

The healthcare industry is marked by constant change, making it crucial for healthcare providers to have robust revenue cycle management (RCM) strategies in place. Maximizing reimbursements is a top priority for healthcare organizations, as it directly impacts their financial stability and ability to provide quality care. In this article, we will explore the strategies that […]

Understanding Write-Offs in Medical Billing: Maximizing Revenue Efficiency

In the complex world of medical billing, understanding the various components is crucial for healthcare providers to effectively manage their finances. One such component is the “write-off,” which plays a significant role in determining the amount a healthcare provider is reimbursed for services rendered. In this article, we will explore what are write-offs in medical […]

Medical Billers and Coders (MBC): National Medical Billing Services Provider

In the complex world of healthcare, efficient medical billing and coding processes are crucial for accurate reimbursement and revenue generation. Medical Billers and Coders (MBC) is a national medical billing services provider offering comprehensive medical billing and coding services. With their expertise, advanced technology, and commitment to excellence, MBC helps healthcare providers navigate the intricacies […]

Enhancing Patient Satisfaction and Retention through Hospital Billing and Collection Services

How Patient Satisfaction is linked to Hospital Billing and Collection Services? Patient satisfaction is an essential aspect of healthcare as it reflects the quality of care and services provided by healthcare providers. Effective hospital billing and collection services play a significant role in enhancing patient satisfaction. When patients receive clear and accurate bills with transparent […]

Understanding False Claims Act in Healthcare

False Claims Act in Healthcare The False Claims Act (FCA) in healthcare (also called the ‘Lincoln Law’), is a federal law that imposes liability on persons and companies who defraud governmental programs. It is the federal government’s primary litigation tool in combating fraud against the government. The federal False Claims Act makes it illegal to: […]

Primary Care Physicians Can Earn More with Outsourcing

Primary Care Physicians are Leaving Money on the Table According to a recent study published in the Annals of Internal Medicine, primary care physicians left much money on the table for services provided but not coded and billed. This research estimates that a single primary care physician could add $124,435 in preventative services to their […]

Practice Management Guidelines to Improve Practice Collections

Receiving accurate insurance reimbursement for delivered services is always been a challenge for healthcare providers. Practice owners spend most of their time and energy on doing administrative tasks of medical billing to receive sufficient insurance reimbursements to cover overhead expenses and provide quality care. But often they make this task even harder by doing sloppy […]

2022 Revised Codes for Principal Care Management

In the Final Medicare Physician Fee Schedule (MPFS) for 2022 issued on November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) added five new CPT codes in the categories of Chronic Care Management (CCM) and Principal Care Management (PCM) and increased reimbursement for already existing codes in the same categories. These codes are […]

Basics of Medicare Remittance Advice (RA)

The A/B Medicare Administrative Contractors (A/B MACs), and Durable Medical Equipment Medicare Administrative Contractors (DME MACs) send to providers, physicians, and suppliers, as a companion to claim payments, a notice of payment, referred to as the Remittance Advice (RA). RAs explain the payment and any adjustment(s) made during claim adjudication. For each claim or line […]

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