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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As healthcare systems struggle to stabilize their reimbursements while improving patient experience, many questions are yet to be answered before making a suitable decision. According to the changing spectrum of the healthcare industry in the USA, hospitals and other provider ...
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Did you know that the job rate of provider credentialing specialists is growing by the day in the USA due to the sheer volume of the work pattern and the complexities involved? But you’ll be shocked to know that half ...
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The Interoperability Rule put forward by the Centers for Medicare and Medicaid Services has been implemented from July 1, 2021, after a delay of six months to give the stakeholders more time to comply with the changes. Any non-compliance with ...
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Do you think healthcare professionals are precise in their hospital medical billing? As per records, they have lost around $323.1 billion in 2020. It looks like quite a considerable sum! US healthcare providers are confronting high financial strain, and it ...
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Outsourcing a revenue cycle management partner can lower your costs and improve your performance in billing and collection. But you will be shocked to hear the data that supports this idea. Outsourced medical billing services can slash down the operational ...
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