Whenever a medical facility provides services for patients, a request will be sent, asking to receive money for the services that were provided. This request is known as a medical claim. While many claims can be approved, it’s possible that… Read More
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Comparing Denied Claims With Rejected Claims
Getting healthcare claims submitted is going to take a lot of work. It’s a highly complex and technical process, but if you know the fundamentals of claim submitting, you’ll have an easier time working through it. One critical detail to… Read More
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Going Over Internal and External Appeals For Denied Medical Claims
Medical issues are often one of the most stressful things that the average person must deal with. For many, there is stress in simply scheduling and going to appointments. For others, the stress comes from having to navigate the complexities… Read More
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Making Your Denial Management Process Better
All medical practices will face denied claims at some point, as much as we try to avoid them. While these denials can’t be prevented in their entirety, there are ways to reduce them significantly. As long as you follow the… Read More
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Comparing Medical Billing Claim Denials and Claim Rejections
There are two large obstacles that negatively impact healthcare reimbursements. These obstacles are insurance claim denials and rejections. Many people in the billing industry will try to use these terms interchangeably. However, rejections and denials have distinctions between them, and… Read More
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How to Create a Better Medical Claims Billing Process
Medical coding and billing processes are complicated. Billing can take anywhere from a few days to several months to be finalized if the patient has a case that is complex enough or they have a significant enough medical history behind… Read More
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Steps of Revenue Cycle Management
The revenue cycle plays a heavy role in how successful healthcare organizations become. If you do not have a strong billing department, your practice could be missing out on a great deal of money from patient payments and payer reimbursements,… Read More
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How Do I Choose the Best Medical Billing Company?
If you’re trying to improve your financial performance through the use of a better medical billing process, you might want to consider outsourcing medical billing to a third-party company. Outsourcing medical billing services can do a world of good for… Read More
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Proactive Denial Management Procedures to Lower your Claim Rejection Rate
Hearing the word “denial” is rarely ever going to something you want, especially when you’re the one receiving the denial. Medical claims are sensitive documents. They require careful scrutiny before they get submitted, and they will get denied if they… Read More
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In-House vs. Outsourced Medical Billing
Deciding whether to outsource medical billing or do it in-house is a big choice, and it impacts many practice managers and doctors. There are certain factors that determine which option is better for you. In-house and outsourced medical billing have… Read More