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, […]
Introduction The complex landscape of medical coding and billing has taken on a critical role, particularly in the context of the ongoing COVID 19 pandemic. Adapting to the changing dynamics of healthcare is crucial for accurately documenting tests, treatments, and diagnoses related to the virus. Healthcare practitioners have integrated new codes and guidelines, often sourced […]
Introduction The evolving landscape of healthcare encourages continuous adaptation, particularly in the area of Acute Respiratory Infections (ARIs) and their complicated billing procedures. This article explores different aspects of Acute Respiratory Infections and the associated billing challenges under the billing guidelines 2023. It also provides an in-depth exploration of the changes and updates that define […]