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Impacts of COVID-19 on Healthcare revenue cycle

Impacts of COVID-19 on Healthcare revenue cycle

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,

Basics of Healthcare Revenue Cycle Management

Basics of Healthcare Revenue Cycle Management

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

Patients are unsatisfied with provider’s poor digital medical billing process

Patients are unsatisfied with provider’s poor digital medical billing process

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

Medical billing and coding are the backbone of the healthcare revenue cycle

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 represented the biggest cost-saving opportunity for providers

Prior authorization represented the biggest cost-saving opportunity for providers

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

Advancements in primary care fosters Value Based Care

Advancements in primary care fosters Value Based Care

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

How Do Oncology Practices Affect Mandatory Bundled Payment Models?

How Do Oncology Practices Affect Mandatory Bundled Payment Models?

One of the new bundled payment models from the Centers for Medicare & Medicaid Services (CMS) that is the Oncology Care Model has increased the interest and doubled the participation numbers among healthcare providers as many medical organizations participating than initially expected. Research-based study shows that many organizations are experimenting with value-based payment models that

Get Ready for Radiology Billing Changes in 2020

Get Ready for Radiology Billing Changes in 2020

The Centers for Medicare & Medicaid Services (CMS) recently published the final Medicare Physician Fee Schedule for 2020, drawing positive and negative reactions from various radiology groups. The American College of Radiology, said it was “disappointed” that CMS chose to finalize plans to implement a upgraded coding structure for office/outpatient evaluation and management (E/M) services.

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