Outsourced medical billing has long been a supporting pillar of the American medical industry. However, with the changing ecosystems and working patterns, medical billing services have also evolved their functions. On the one hand, technology has played a crucial role ...
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With the new year knocking on the door, physicians, their billing teams, and the entire hospital medical billing industry are rethinking the strategies that could yield better results. With the sector undergoing several permanent and temporary changes over the last ...
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According to a recent study published by the Grand View Research, the global market for AI in healthcare is growing at a compound annual rate of over 40%. Particularly in the United States, the implementation of artificial intelligence and machine ...
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The Centers for Medicare and Medicaid Services announced its latest payment rule, which will apply to respective health systems from 2022. The released rules have covered three broad classifications of the healthcare system: Outpatient Prospective Payment System and ASC Payment ...
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Healthcare organizations lose millions of dollars every year to settle lawsuits due to improper billing in healthcare. While legal hassles and case settlements are common in every industry in the USA, healthcare lawsuits strike otherwise since most of the laws ...
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A recent report from the Advisory Board Survey at Healthcare Financial Management Association of the USA revealed that the success rates of appeals for medical bill denial have gone down significantly in the last two years. While the rate dropped ...
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Did you know that the US Department of Labor estimated from the American Association of Retired Persons (AARP) reports that over 200 million medical claims get denied every day? But the most shocking part is that over 60% are simply ...
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Prior authorization is a delicate administrative procedure of the medical industry. While sometimes it is referred to as the “necessary evil,” it significantly affects the patient clinical outcomes as well as the payer-provider relationship. Provider organizations have repeatedly complained about ...
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Did you know that according to the financial benchmarking of the American Academy of Family Physicians, the number of overall days spent in accounts receivable should ideally be 30 to 40? Yet, most clinics suffering from low collection rates record ...
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As the healthcare industry moves swiftly to a value-based care model in the USA, risk-based revenues are bound to rise. However, the numbers in surveys do not show much improvement in this sector. Moreover, top surveys show that the risk-based ...
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