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Accurate Patient Eligibility Verification_ Best Practices You Need

Accurate Patient Eligibility Verification: Best Practices You Need

Physicians dedicate themselves to delivering exceptional patient care, but without effective medical billing practices, they risk facing denials and losing out on optimized reimbursements. One of the most critical elements of this process is accurate insurance verification. Ensuring patient eligibility verification is confirmed before services are rendered is essential for timely and appropriate reimbursement. This […]
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Is Your Revenue Cycle Management Team at Risk_

Is Your Revenue Cycle Management Team at Risk?

The RCM process is the backbone of healthcare organizations, ensuring smooth cash flow, operational efficiency, and financial stability. However, despite its significance, many healthcare practices overlook one crucial aspect: the well-being and sustainability of their revenue cycle staff. High turnover, burnout, and constant changes in regulations put your RCM team at risk, directly affecting your […]
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Causes of Medical Coding Backlogs & How to Fix Them_

Causes of Medical Coding Backlogs & How to Fix Them?

Accurate, high-quality medical coding is essential for ensuring prompt and precise reimbursements. Any issues during the coding process can result in lengthy rejections and expensive denials, creating a bottleneck in the revenue cycle. This can lead to backlogs, extended accounts receivable (A/R) periods, and postponed payments. Identifying the underlying reasons for medical coding backlogs and […]
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The Role of Credentialing in Healthcare

The Role of Credentialing in Healthcare

Credentialing is mandatory for all healthcare providers, whether operating individually or as part of a group. This vital process confirms compliance with healthcare service standards for patient care. Providers must secure credentials with major payers to broaden their patient base by meeting payer trust criteria. Explore the significance, procedural details, advantages, and more aspects of […]
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