Medicaid, a joint federal and state program, provides health insurance to millions of low-income individuals, families, and those with disabilities across the United States. For healthcare providers, verifying Medicaid coverage is a critical step in ensuring that services reduced will be reimbursed. However, the verification process can often be complex due to varying state-specific rules, […]
Medical billing audits seem to be complex, but with the right preparation and mindset, they can be handled smoothly and used as opportunities to improve. This guide will walk you through the important steps to handle medical billing audits effectively. Whether you’re a healthcare provider, physician, or medical billing specialist, these insights will help you […]
Every year, the last week of April is dedicated to World Immunization Week, a global initiative organized by the World Health Organization (WHO). The goal is simple but significant: to promote the importance of vaccines in preventing diseases and protecting public health. As a medical billing company like Ensure MBS, we play a crucial role […]
Medical Billing For Family Medicine Introduction Medical billing is the process of translating healthcare services provided by family medicine practitioners into CPT/ICD billing codes. These codes can be submitted to insurance companies and government healthcare programs for claim reimbursement. It is a crucial aspect of the healthcare system because it ensures that healthcare providers receive […]
In the evolving landscape of healthcare, effective revenue cycle management is essential to the financial success of any organization. Regardless of the healthcare setting, unlocking the secrets to maximizing revenue requires a strategic approach and a deep understanding of the revenue cycle. In this article, we delve into the essential tips for effective revenue cycle […]
What is the difference between Medicare & Medicaid? Medicare is a federal program that provides health coverage for individuals who are 65 years or older or those under 65 with a disability, regardless of their income. Medicaid If you have a very low income, Medicaid is a program that can provide you with essential health coverage and […]
Introduction A healthcare reimbursement model refers to a mechanism/approach by which healthcare professionals receive payment against provided medical services. There are different types of healthcare reimbursement models that exist in different countries based on their priorities. Reimbursement models have always been linked with ethical aspects. These models outline the process of healthcare compensation for medical […]
Introduction What is Healthcare Revenue Cycle Management (RCM) Revenue cycle management (RCM) is a comprehensive process that consists of three important 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 […]
Introduction Claim Denial management in the Healthcare industry is considered the most important discipline. As per statistics, Healthcare institutions have denial rates ranging from 5 to 10%. This substantial denial rate results in a substantial amount of revenue loss every year for all medical service providers. It has also been observed that the issue of […]
Introduction Accurate record keeping, reimbursement, and data analysis are only possible with medical coding. Historically, medical coding has been a tedious and time consuming task, with opportunities for human error and inefficiency. Recently, however, with the help of AI, great changes have been made in fully automating and streamlining the medical coding process. In this […]