Electronic Healthcare Record (EHR) software is a computer system that helps healthcare providers to manage patient medical records and automate clinical workflows. This software enables providers to deliver the modern standards of patient care while enjoying government incentives. EHR system provides a patient’s entire medical history to the logistical aspects of running practice in one
COVID-19 is a new coronavirus, which means that no-one has a natural immunity to it. This virus has spread worldwide, leading the WHO to label it a pandemic. Worldwide millions of people are advised to stay at home to minimize transmission of coronavirus. However, healthcare providers need to visit clinics and hospitals, putting themselves at
Money is an important aspect of the healthcare revenue cycle due to the rising declining rate of Medicare reimbursement and new value-based care models. Healthcare organizations should focus on negotiating claims reimbursement contracts with payers to optimize revenue cycle management. Several key factors such as communication with stakeholders compare expected and actual revenue yields, evaluate
The denial management process is important for successful revenue management and the purpose of the process is to investigate every unpaid claim as well as identify the trends of one or several insurance providers and appeal for the denial based on the terms mentioned in the provider’s contract. Claim denials are often for most of
Revenue cycle management (RCM) is the backbone of the healthcare industry as every healthcare organization needs to develop successful processes and policies for financial stability. The healthcare RCM begins with patients appointment to seek medical services while ends on settlement of claims and payment collection. The key stakeholders in this healthcare RCM are Physicians, patients,
The noble cause of saving lives and treating patients is the prior most aim of the healthcare providers like doctors, physicians, imaging centers, emergency and intensive care centers, pharmacies, etc. Perfect financial management, tools and techniques to meet inevitable crises and expertise are needed to run and flourish the healthcare industry smoothly. So, the healthcare
Medical bills in the notoriously twisted health insurance matters are at times quite confusing for the patients. Sometimes, patients may grumble to visit back if they are confused about what they owe or what their insurance can pay for. They may fear for going ahead for further treatment, rather may not approach either. The reason
Medical billing and coding are the backbone of the healthcare revenue cycle. It ensures payers and patients reimburse providers for services delivered. Medical billing and coding interpret a patient come across into the languages used for claims submission and reimbursement. Billing and coding are separate processes. But both are crucial to receiving payment for healthcare
Prior authorization is a check conduct by some insurance companies or third-party payers in the United States before they agree to cover specific prescribed medications or medical procedures for patient. Prior authorization costs accounted for approximate two percent of overall medical industry spending on administrative transactions in last year 2019. Analyzing data from medical plans covering
Technological advancements in primary health care system have become quiet crucial in medical sector. Adoption of continual innovative technologies pertaining to medical care is one of the major driving forces. As these days the world has been infested by many infectious and other such allied diseases; due to inflated influx of migrants from high prevalent
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