Remove Billing Remove Huddles/Rounds Remove Insurance
article thumbnail

How to Streamline Your Medical Claims Management Process for Better Results 

CollaborateMD

Challenges of Healthcare Claims Processing A medical claim is a request made by a healthcare provider to insurance companies (payer) to receive reimbursement for services rendered. Not if you ask billing managers. Healthcare providers and organizations have the power to improve medical billing and collections. Easy, right?

article thumbnail

Proactive denial management: A revenue game changer for small practices

Medical Economics

Industry data showed that insurers on HealthCare.gov denied about 19% of in-network claims in 2023 ; that’s $73 million out of $319 million in claims filed. For a small practice, each denial means delayed payment and a new round of research and correction. Then, group these denials by payer or category to reveal patterns.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Preparing for audit inevitability: Is your practice ready?

Medical Economics

Every provider will be audited — multiple times, across different insurers, sometimes for single claims, sometimes for comprehensive reviews. Audit triggers Olga Khabinskay © WCH Insurance companies aren’t randomly selecting providers to audit. If you’re always billing at the highest-level codes, or always at the lowest, you stand out.

article thumbnail

Simplifying Compliance: How Medical Billing Services Keep You Audit-Ready

CollaborateMD

Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.

article thumbnail

A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. Unfortunately, it’s also a very taxing process.

article thumbnail

Medical Assistant Careers in 2024: Why Now Is the Best Time to Start

Northwest Suburban College

On the administrative side, you will be trained in tasks like scheduling appointments, managing medical records, and handling billing and insurance forms.

article thumbnail

What is Automation in Healthcare? A Guide to Streamlining Operations 

CollaborateMD

Applications of automation span everything from medical billing and administrative processes to enhancing patient care through clinical decision support and real-time analytics. Automation minimizes human error in critical areas such as diagnosis coding, medical billing, and revenue cycle management (RCM).