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How a Medical Clearinghouse Can Optimize EHRs’ Software Offerings

Enhance EHR Offerings

EHRs that partner with clearinghouses can alleviate the burdens of medical billing, along with their other software offerings, making it a more robust solution. In this article we’ll cover some of the additional features EHRs can offer by partnering with a clearinghouse.

Understanding Real-Time Eligibility and Its Benefits as a Perfect Tool for Quick Verification

Real-time Eligibility

By using real-time eligibility, organizations have been able to decrease the collections lost from check-in mishaps, and increase the efficiency of the check-in process, improving the revenue cycle, patient experience, and employee satisfaction. Read on to discover more about real-time eligibility verification and its benefits in the management of a healthcare organization.

How to Integrate Dental Billing with Your Dental PMS

Dental PMS

You have decided to integrate your dental billing into the dental practice management software (PMS), but what should you choose? There are multiple options, each with different characteristics, support levels, and functionalities. Read on to learn you can integrate your dental billing with dental practice management software.

Complexities of Dental Billing

Dental Billing

There are multiple complexities involved in dental billing, this article outlines major complexities in dental billing and how to overcome them.

Medical Billing Mistakes that Impact Healthcare Revenue

Rejected and Denied Claims Common medical billing mistakes lead to claims rejections and denials. But just because insurers reject a claim, this does not mean it has been denied. Rejected claims are often not processed because of incomplete or inaccurate patient data or insurance eligibility issues. Often, these claims will ultimately be accepted and paid if the applicable information is corrected and resubmitted to the insurance company. Accurate Information – Begin with the initial contact with the patient and gather information at the time of appointment-setting. Make sure all information is collected and entered correctly, including the patient's insurance and policy numbers, correct spelling of the patient’s full name, date of birth, gender as listed on their insurance information, primary policyholder name and social security number, and billing codes for any services provided to the patient. Eligibility Issues – Front-end staff must verify health insurance status and coverage. Eligibility issues are among the top reasons for claim rejections, and about 8% are rejected because of eligibility problems. Even if an insurance company ultimately determines a claim is not eligible for payment and denies it, the claim can be resubmitted and appealed if additional information can support its validity.

An estimated 49% to 80% of medical bills contain at least one error, and that equates to revenue loss. Every error increases the risk that claims will be denied, and denied claims cost time, money, and resources to correct. Accuracy is critical in every step of the billing process to avoid such loss.  Common medical billing mistakes can wreak havoc on your bottom line and lead to frustration […]

How to Maximize Telemedicine Billing

Telemedicine is no longer just the future of healthcare. In today’s healthcare climate, it is an absolute necessity. As telemedicine, or telehealth, becomes the norm for healthcare providers, those providers as well as insurance companies will need claim processing software that best optimizes their telehealth billing.   Telemedicine’s Growth  Telemedicine, or telehealth, has come into its own in the last several years. Patients are more connected than ever before. They value online reviews, prefer to make appointments […]

Your Guide to Telehealth Billing

The Mayo Clinic defines telehealth as “the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and manage your health care.” Telehealth is often referred to as “telemedicine,” although it encompasses a broader range of services than remote clinical sessions. Not surprisingly, telehealth has exploded […]

How Artificial Intelligence Is Increasing Medical Billing and Coding Efficiency

Medical billing and coding is an essential component of the health care industry, providing a standardized format for determining the costs of different treatments and procedures. However, while these procedures are necessary for providing fair prices to medical procedures, billing and coding is a practice rife with potential for error, which can affect patients, providers, […]