Introduction Pediatrics is the branch of medicine that diagnoses and treats diseases concerning to infants, children, and adolescents. According to the American Academy of Pediatrics, pediatric care focuses obviously on patients up to the age of 21. Pediatric medical billing and coding have some crucial aspects that make it distinct from other medical specialties. These […]
Introduction: What is Revenue Cycle Management (RCM)? Revenue cycle management (RCM) is a comprehensive process that consists of three essential steps. The identification of revenue, collection of revenue, and administration of a healthcare financial income. As far as the healthcare industry is concerned, the process starts with appointments and scheduling with the patients, and then […]
Introduction Home healthcare is about providing medical care to the patient when he cannot visit the hospital. This usually happens when patients cannot leave their homes due to illness, surgery, injury, or a chronic health issue. The main goal of providing a Home Health Facility is to keep the patient healthy under severe circumstances. It […]
Introduction Healthcare provider credentialing is a crucial process in healthcare. It ensures that healthcare providers are qualified and safe to provide medical care. This is important in offering specialised plans to expand their patient reach. The process of Healthcare provider credentialing also ensures that healthcare providers meet specific criteria. This includes verifying their skills and […]
Introduction In a complex and evolving healthcare landscape, hospitals find themselves struggling with diverse challenges. One critical aspect is the effective hospital denial management of claim denials. With all these evolving challenges, understanding hospital denial management has become strategically important. It not only optimises revenue recovery but also ensures the financial stability and sustainability of […]
Introduction Dealing with cardiology medical billing and coding is challenging due to complex procedural guidelines, significant contractual shifts, and the ever changing nature of codes. Assigning CPT codes becomes complicated, mainly when dealing with variables. Keeping pace with the diverse codes, code alterations, and deletions demands is a substantial commitment. The importance of documentation, accountability, […]
Introduction Medical billing services involve creating claims for healthcare services, which are then submitted to insurance companies to receive payment. Once a healthcare service is turned into a medical billing claim, the medical biller tracks the progress to make sure the organisation gets paid for the services provided. An experienced medical biller can help maximise […]
Introduction Dermatology medical billing and coding constitute the processes through which treatments, procedures, diagnoses, and medical tests related to skin, hair, and nails are translated into standardized codes. Coders play a crucial role in organizing these codes, while billers ensure clean claims based on these codes. These claims are then submitted to government entities and […]
Introduction In the dynamic healthcare industry, the year 2023 brings vital changes in Medical billing reforms. As healthcare professionals are going to face the complexities of these updates, it becomes imperative to ensure a proactive approach. These changes can lead to enhancing accuracy, transparency, and cost-effectiveness. All these have a profound impact on how medical […]
Introduction In the complex realm of healthcare management, patient insurance verification is vital to ensuring financial stability and patient contentment. This crucial step lies within revenue cycle management, confirming a patient’s insurance coverage and benefits. It enables timely payments to healthcare providers. Beyond its economic role, insurance verification also promotes smooth billing, prevents claim denials, […]