Author name: avosina

Cracking the Code: Essential Urology Billing and Coding Tips for Maximum Reimbursement

Accurate billing and coding are the lifeblood of any successful healthcare practice, and urology is no exception. Urology billers, healthcare administrators, and urologists themselves are no strangers to the maze of Current Procedural Terminology (CPT) codes, modifiers, and payer-specific rules. Despite their expertise, errors in coding and documentation can lead to claim denials, delays, and […]

Cracking the Code: Essential Urology Billing and Coding Tips for Maximum Reimbursement Read More »

How Value-Based Care Is Reshaping Medical Billing Practices

The healthcare industry is undergoing a technological shift – a pivot from the traditional fee-for-service model to value-based care. With a focus on delivering patient-centered, outcome-driven treatments, value-based care prioritizes quality over quantity. While this shift brings numerous benefits for patients, it also comes with some implications for medical billing and coding practices.  For healthcare

How Value-Based Care Is Reshaping Medical Billing Practices Read More »

The Role of Medical Billers in Revenue Cycle Management

Revenue cycle management (RCM) is the lifeblood of any healthcare organization. From the moment a patient schedules an appointment to the final payment of their bill, RCM ensures that every financial cog in the machine turns smoothly. Within this system, Medical billers are the true heroes who work tirelessly behind the scenes. If you’re a

The Role of Medical Billers in Revenue Cycle Management Read More »

AI And Automation In Medical Billing And Coding – How AI Is Revolutionizing The Industry?

Introduction to AI and Automation in Medical Billing and Coding A remarkable change is taking place in the healthcare sector and AI and automation are leading this change. Medical billing services that were previously burdened with complexities and inefficiencies continue to integrate technologies into their operations. Imagine a world where coding errors are minimized, claims

AI And Automation In Medical Billing And Coding – How AI Is Revolutionizing The Industry? Read More »

COVID-19 Is Creating Unique Challenges in Revenue Cycle Management

COVID-19 Is Creating Unique Challenges in Revenue Cycle Management

The whole world is going through a pandemic. The world’s governments and health organizations are begging people to stay home and practice social distancing to prevent the spread of a deadly virus. Healthcare facilities are battling day and night to combat the novel virus with thousands of corona-positive patients getting reported daily throughout the world. 

COVID-19 Is Creating Unique Challenges in Revenue Cycle Management Read More »

Are You Facing Revenue Cycle Challenges due to Your EHR Software?

Are You Facing Revenue Cycle Challenges due to Your EHR Software?

Since the implementation of electronic health records (EHR), patients are receiving more standardized quality healthcare and more efficient billing options. This digital revolution did not only help the patients and healthcare facilities in keeping records, but also researchers and big data aggregators.  They can use the record (with the patient’s consent) for research, clinical trials,

Are You Facing Revenue Cycle Challenges due to Your EHR Software? Read More »

Everything You Need To Know About Bundled Payments

Everything You Need To Know About Bundled Payments

Bundled payments represent a form of APM (alternative payment models). They are created to offer value-based care by allowing providers to increase efficiency during patient care while improving revenue performance at low overhead costs.  Bundled payments are a kind of episode payment model (EPMs) that require the providers to take risks and go above the

Everything You Need To Know About Bundled Payments Read More »

Prevent These Top Medical Coding Mistakes

Prevent These Top Medical Coding Mistakes

Medical billers and coders are very important figures in the healthcare business. They keep the physicians, nurses, healthcare professionals, and patients organized and on track with their duties and treatment by keeping record of all the diagnosis periods, treatments, and procedures. They submit the insurance claims to the insurance agencies as well, which turns into

Prevent These Top Medical Coding Mistakes Read More »

AI in health care

How Artificial Intelligence has Improved the Healthcare Industry

Medical coding, medical billing and revenue cycle management are significant sectors in healthcare. They are necessary to transform patients’ records into medical codes so that practitioners, surgeons, nurses, and physicians can be paid for their services. Correct billing is a challenge that still, many health facilities around the world face. As these codes are typically

How Artificial Intelligence has Improved the Healthcare Industry Read More »