Medical Billing Blogs

  According to a survey by AAFP (American Academy of Family Physicians) , denials are a frequent occurrence accounting for between 5-10% of hospital claims. Denial Management Services Industry experts believe that in order to improve revenue flow, it is very important for providers to keep this number close to 5%. And in order to achieve this, they need to have a robust denial management process in place. Why denials continue to be a challenge? You will be surprised to know that there are quite a few number of providers who still use the manual  denial management  process. This not only creates room for errors but also slows down productivity. According to a survey by  HIMSS Analytics , at least 31% of providers still use the manual denial management procedure. As per an article in  RevCycle Intelligence , most providers or hospitals don’t have an effective denial management process in place, be it manual or electronic. According ...

Outsourcing of   radiology billing   services has become a common trend in the US healthcare industry. Healthcare experts are choosing to hire a reliable medical billing partner to ensure accuracy in   claims submission . This is because lack of time and manpower has made it daunting for radiologists to keep a track of billing and coding processes. Billing inefficiencies are not only resulting in denials and affecting payments but also impacting the integrity of the practice. Radiology practices are constantly under pressure to prove their value and stay ahead of the curve. Considering the changes in payment models and introduction of quality measures, they have to make more efforts in order to thrive and survive in the changing landscape. If claim denials and delayed payments have been an issue for your radiology practice as well, then you need to take necessary measures in order to get your practice back on track. Here are some of the common radiology billing challenges...

Gastroenterology is the division of medicine regulating the digestive system and its dysfunctions. This specialization focuses on diseases affecting the gastrointestinal tract, including the organs from mouth into anus, along the alimentary canal. Physicians exercising in this field are called gastroenterologists.  Gastroenterologists need to stay modernized on the several coding guidelines and payer-specific rules to maintain a compliant and financially flourishing practice. Billing and coding for gastroenterology remain challenging and require expert knowledge to ensure maximum compensation. Additionally, gastroenterology billing requires the ability to track underpayments efficiently. This specification often surpasses the competency of most billing software and in-house billing staff. GI practices not adequately targeting underpayments face significant revenue issues. Moreover, with the subsequent payment cuts affecting gastroenterology practice revenue, more practices rely on...