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Improve your Prior Authorization process

Improve your Prior Authorization process

It is one of the most exasperating challenging tasks for physicians to obtain prior authorizations for prescriptions and testing in their services. In the physician’s percept, prior authorizations are nothing but it’s just insurance companies inserting themselves into the care decision-making process, creating problems for both doctors and patients. Physicians say they have to face

Improper payment rate reductions in Medicare Fee-For-Service

Improper payment rate reductions in Medicare Fee-For-Service

If you read the www.paymentaccuracy.gov website on the topic of ‘The Improper Payments and Elimination and Recovery Act of 2010’ it clearly defines an ‘improper payment’ as any reimbursement/payment which was incorrect or was nor made due to incorrect charge entry, contractual, administrative, or any other federal requirements. Calculating the Improper Payment Rate From a

Four vital elements that affect payments and income cycle in medical billing

Four vital elements that affect payments and income cycle in medical billing

The recent changes in the U.S healthcare system have brought with it variety of challenges for healthcare units, patients and insurance companies alike. Staying afloat in such a transition can be a tough task, while the frequent alterations of medical billing and coding rules and regulations, can cause income loss. Crossing the Hurdle Though economist

Tips to get paid for downcoded claims

Tips to get paid for downcoded claims

A timely turnaround time in claims cycle and fair payment is what almost all the healthcare service providers in the United States look for. And in order to achieve this target downcoding is something you need to avoid. Downcoding on the outset is a pure threat to your healthcare business as insurance companies down code

Upcoming challenges for Ambulatory Surgical Centers and how to overcome them

Upcoming challenges for Ambulatory Surgical Centers and how to overcome them

As ASCs observe a period of deteriorating reimbursement, regulatory changes and challenges, numerous ASC facilities are trying to guide their medical billing and coding team through budgetary crises.  Experts in the field are looking for feasible solutions that will align their reimbursement with services provided. The first and foremost step to improving ASC billing and

Maximize your Optometry Cash Flow with Leading Medical Billing Services Company

Maximize your Optometry Cash Flow with Leading Medical Billing Services Company

We at Medisys understand that the revenue cycle management (RCM) for optometry medical practice has become complicated than ever before. With the on-going changes in insurance policies, federal policies, along with rigorous compliance regulations and healthcare reforms, it has become harsh for optometrists and medical billing staff to keep pace. The result, incorrect or delayed

Mitigate the adversities of Radiology billing

Mitigate the adversities of Radiology billing

For radiologists all over the United States, the medical billing and coding process is often viewed as burdensome. Most times it is difficult to remain up to-date on all the billing regulations and individual payer changes, with no time to understand them. But, it’s imperative for the radiology practice to thrive. Gradually more radiologists are

Impact of Artificial Intelligence of medical billing and coding

Impact of Artificial Intelligence of medical billing and coding

For many, the future of the healthcare industry and medical billing and coding in the age of artificial intelligence (AI) is difficult to imagine. Today, technology is here to assist your healthcare business and improve the revenue cycle and impact the day-to-day working of your healthcare facility. Influence of Artificial Intelligence on Medical Billing and

Channelizing your orthopedic practice with the perfect billing service provider

Channelizing your orthopedic practice with the perfect billing service provider

Here are some cohesive steps used by medical billers and coders to help orthopedics get the best possible reimbursement.  Patient Information Module As apparent as it may seem, but patient verification is a vital step in the billing process. To be on the safer side our team always double-checks the spelling of patient names, their

Tips to credential a provider with insurance company

Tips to credential a provider with insurance company

Healthcare facilities, payer networks and hospitals require credentialing to admit a provider in a network or to treat patients at a clinic or hospital. What may look like a straightforward credentialing process is engulfed with complications that can frustrate even the calmest of physicians. Here are some vital tips to credential a provider with insurance

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