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Stay updated and join the conversation with the latest facts.
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How Cloud-Based RCM is Revolutionizing Healthcare Revenue Management?
Explore how RCM outsourcing can revolutionize your healthcare practice by reducing administrative burdens, increasing efficiency, and more time for patient care.
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Why Outsourcing Pre-Authorization Services is Cost-Effective
CMS has rolled out fresh rules to change how prior authorizations work by using advanced electronic data exchanges.
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12 Key Factors to Consider When Choosing a Credentialing Service Provider
Credentialing process in Revenue Cycle Management (RCM) is essential for ensuring that healthcare providers meet the necessary standards.
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Prior Approval vs Pre-Authorization
CMS has rolled out fresh rules to change how prior authorizations work by using advanced electronic data exchanges.
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Staying Compliant in Healthcare Revenue Cycle Management!
Ensure compliance in healthcare revenue cycle management with expert tips on navigating regulations, minimizing risks.
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Employee Retention and Career Advancement in Healthcare
Credentialing process in Revenue Cycle Management (RCM) is essential for ensuring that healthcare providers meet the necessary standards.
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Navigating Multi-State Licensing and Credentialing for Healthcare Providers
Credentialing process in Revenue Cycle Management (RCM) is essential for ensuring that healthcare providers meet the necessary standards.
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Role of Pre-Authorization in Improving Patient Outcomes
CMS has rolled out fresh rules to change how prior authorizations work by using advanced electronic data exchanges.
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More Patients, Less Paperwork — How RCM Outsourcing Can Change the Game?
Explore how RCM outsourcing can revolutionize your healthcare practice by reducing administrative burdens, increasing efficiency, and more time for patient care.
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How Pre-Authorization Process Works
CMS has rolled out fresh rules to change how prior authorizations work by using advanced electronic data exchanges.
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Importance of Pre-Authorization in Streamlining Healthcare Services
The PA is crucial to RCM because payers must validate whether a certain service or treatment will be compensated.
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From Data to Dollars: How Analytics Elevates Healthcare Revenue cycle Management
Discover From Data to Dollars: How Analytics Elevates Healthcare Revenue cycle Management and streamlining operational efficiency.
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10 Essential Steps to Streamline Revenue Cycle Management in Healthcare Practices
Discover the top 10 essential steps to streamline revenue cycle management in healthcare practices. and enhance efficiency, reduce billing errors.
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Credentialing Process in RCM
Credentialing process in Revenue Cycle Management (RCM) is essential for ensuring that healthcare providers meet the necessary standards.
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How to Stay Compliant with Changing Credentialing Regulations
Credentialing mistakes or lack of credentialing directly means that your practice won’t be verified by the payer.
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Best Practices for End-to-End in Healthcare Revenue Cycle Management
Best practices for end-to-end healthcare revenue cycle management and patient billing transparency to maximize revenue and operational efficiency.
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Role of Credentialing in Mitigating Risk and Ensuring Patient Safety
Credentialing mistakes or lack of credentialing directly means that your practice won’t be verified by the payer.
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AdvancedMD Telehealth Solutions: Revolutionizing Patient Engagement in 2025
Transform patient engagement with the AdvancedMD telehealth tool. Find how this innovation empowers patients and providers through its seamless features.
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Top 10 Challenges in Healthcare Credentialing
We'll explore some of the healthcare credentialing system's most prominent challenges in this blog article.
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Top Trends in Patient Engagement Software: How AdvancedMD Stays Ahead
Navigate the top trends surrounding patient engagement tools and how AdvancedMD software leads the curve with its innovations that foster patient trust.
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Streamlining Physician Onboarding with Credentialing Services
Streamline physician onboarding with efficient credentialing services that simplify the verification process.
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Exploring the AdvancedMD App: A Comprehensive Guide to Enhanced Patient Engagement
Find how the AdvancedMD app transforms patient engagement and satisfaction with tools including telehealth, appointment scheduling, and secure communications.
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Role of Credentialing in Health Insurance Reimbursement
Credentialing mistakes or lack of credentialing directly means that your practice won’t be verified by the payer.
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How RCM Services Reduces Administrative Burdens
Orthopedic practices face unique challenges with complex coding, insurance management, and maintaining financial stability.
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Why RCM Outsourcing is Vital for Healthcare Providers
Explore the challenges and best practices for ensuring legal compliance and patient privacy in outsourcing Revenue Cycle Management (RCM) for behavioral health.
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Common Challenges in RCM and How to Manage Them?
The complexities of podiatry billing necessitate a thorough understanding of podiatry medical coding, compliance
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How to improve denial management in RCM
A claim denial is when your health insurance refuses to pay the claim submitted. This will affect the financial health of your practice
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Why AdvancedMD is Leading the Way in Patient Engagement Software
Find how AdvancedMD’s patient engagement software shifts healthcare practices to adopt patient expectations, improving patient satisfaction and loyalty.
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Trends and Technologies Shaping in 2025
The Healthcare Revenue Cycle Management (RCM) market is undergoing a transformation with
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How RCM Services Enhance Financial Performance for Healthcare Providers
Discover key strategies to prevent claim denials and boost your physical therapy practice's financial health with our comprehensive guide to Revenue Cycle Management. Learn how to optimize billing processes and enhance cash flow with Practolytics
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Navigating Billing, Coding, and Compliance Challenges
Explore the challenges and best practices for ensuring legal compliance and patient privacy in outsourcing Revenue Cycle Management (RCM) for behavioral health.
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Top Strategies for Ensuring HIPAA Compliance in Cardiology Billing and Coding
Discover how to optimize your revenue cycle management with advanced tools and techniques that enhance both financial stability and patient care.
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Maintaining Compliance While Maximizing Profitability
Home healthcare and wound care are integral components of the healthcare industry, contributing significantly
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Maximizing Revenue through Strategic Payer Agreements
Maximize your revenue cycle management (RCM) processes in value-based care models. Learn how to improve patient engagement, enhance care coordination, and reduce costs with our expert guide
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Reduce AdvancedMD Costs and Boost Efficiency with Practolytics’ Platinum Partner Benefits
Discover how partnering with Practolytics, a Platinum Partner of AdvancedMD, can help your healthcare practice reduce costs and enhance efficiency.
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Expanding Access to Genetic Counseling: Overcoming Insurance Barriers for At-Risk Populations in Oncology
Discover the critical role of genetic counseling in oncology and the insurance barriers that hinder access for at-risk populations.
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How to Optimize Operational Efficiency and Improve Profitability in Practice Consulting Services
Handling the finances while also taking care of the patients can be a headache. Therefore, having an expert team trained to deal with medical billing and collection can be a rewarding investment for your practice.
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Compliance Audits in Healthcare
Home healthcare and wound care are integral components of the healthcare industry, contributing significantly
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A Comprehensive Guide to Patient Eligibility and Benefits Verification
In the realm of healthcare Revenue Cycle Management (RCM), the paramount objective is to safeguard that patients access.
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Decoding CMS Regulations for Bariatric Surgery Billing: A Comprehensive Guide to Compliance and Reimbursement
The expenses related to bariatric surgery are mostly influenced by the Centers for Medicare and Medicaid Services (CMS).
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Strategies to Reduce Delays and Improve Patient Experience
In the healthcare sector, prior authorizations are critical yet cumbersome, often leading to delays and administrative burdens. This article explores how advanced technologies such as AI and EHRs are revolutionizing the prior authorization process.
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A Guide to Streamlined Credentialing and Provider Enrollment in Healthcare
Credentialing with medical insurance companies is a significant step to gain inclusion into insurance payment panels.
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How to Overcome Urology Billing and Coding Challenges and Boost Revenue with Practolytics
Struggling with urology billing and coding? Discover how to address common challenges and improve financial outcomes for your practice.
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Medical Billing and RCM Are Adapting to Value-Based Care
Explore how Green RCM is revolutionizing the healthcare industry by integrating sustainable practices into medical billing and revenue cycle management.
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Home-Based Care Options: Innovations in Coverage for Aging in Place and Independent Living
Explore the rise of home-based care options for seniors, emphasizing innovations that enhance independent living and aging in place.
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Healthcare Revenue Intelligence: Revealing the Cash at Each Step of the Revenue Cycle
Discover how effective revenue cycle management (RCM) can streamline access to these critical treatments and promote health equity for all patients.
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Genomic Medicine in Oncology: Expanding Coverage for Targeted Therapies and Personalized Cancer Treatment
This article examines the crucial role of genomic medicine in oncology, highlighting the need for expanded insurance coverage to enhance access to targeted therapies and personalized cancer treatments.
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Can Leveraging AI and Automation Transform Your Revenue Cycle Management Experience
Discover the strategies and innovations that can help you optimize both clinical outcomes and financial stability in the evolving landscape of teleradiology.
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Emerging Endoscopic Techniques: Assessing Insurance Coverage for Therapeutic Endoscopy Innovations in Gastroenterology
Explore the impact of therapeutic endoscopy in gastroenterology, emphasizing the need for comprehensive insurance coverage. Discover current challenges, economic benefits, and advocacy efforts to ensure equitable access to these innovative treatments.
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Biologic Therapy Access Disparities in IBD: Overcoming Insurance Barriers and Promoting Equity
Discover how effective revenue cycle management (RCM) can streamline access to these critical treatments and promote health equity for all patients.
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Bridging the Gap Between Patients and Providers with Cost Estimate Software
Discover the essential steps and best practices for navigating provider credentialing and enrollment in the healthcare industry.
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Provider Credentialing and Enrollment: Your Complete Guide to a Smooth Process
Discover the essential steps and best practices for navigating provider credentialing and enrollment in the healthcare industry.
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Maximizing Healthcare Revenue: Engaging Physicians in the Claims Cycle
Discover how engaging physicians in the claims cycle can significantly reduce denials and underpayments, optimizing revenue for healthcare practices.
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Understanding the New Documentation Requirements for Pathology and Laboratory Claims: A 2024 Compliance Guide
Learn about the new documentation requirements for pathology and laboratory claims starting September 2024.
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Why Customized Urology Billing Solutions Are Essential for Your Practice’s Financial Health
Discover how tailored billing solutions can address the unique challenges of urology practices, reduce claim rejections, and enhance revenue.
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Medical Nutrition Therapy Reimbursement: Strategies for Effective Integration in Gastroenterology Practices
Explore the critical role of Medical Nutrition Therapy (MNT) in gastroenterology and navigate the complexities of reimbursement.
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How Automation is Revolutionizing Revenue Cycle Management in Healthcare
Discover how automation is transforming Revenue Cycle Management (RCM) in the healthcare industry.
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Streamline Bariatric Endoscopy Billing with Practolytics: Expert Guidance for Accurate Coding and Reimbursement
Navigating the complexities of bariatric endoscopy billing can be challenging. Discover how Practolytics can streamline your billing process, ensuring accurate coding and maximum reimbursement.
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Navigate Cardiology Billing Regulatory Changes with Confidence: Practolytics’ Expert Strategies for Success
Learn how Practolytics can help your practice reduce denials, ensure compliance, and achieve financial success.
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Boost Orthopedic Practice Profitability with These Expert Billing Solutions!
Discover essential billing strategies to boost profitability in your orthopedic practice.
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Navigating the Future of Gastroenterology Billing: Leveraging Telehealth, Bundled Payments, and AI Solutions
Discover how the evolving landscape of gastroenterology billing is reshaping practice revenue with advancements in telehealth, bundled payments, and artificial intelligence.
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Success Keys: Streaming Gastroenterology Billing and Credentialing
Explore essential strategies for streamlining gastroenterology billing and credentialing processes.
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Credentialing Documentation Management: Essential Best Practices for Accuracy and Security
Effective credentialing documentation management is crucial for ensuring compliance and reducing risk in various industries.
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Unlock Your Bariatric Practice’s Potential with AI-Powered Billing Solution
Learn about the complexities of billing, the benefits of AI-powered solutions, and how our technology improves accuracy, efficiency, and revenue for bariatric practices.
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How to Achieve Compliance and Accuracy in Orthopedic Billing and Coding
Discover the importance of compliance in orthopedic billing and coding and learn best practices to maintain accuracy, reduce claim denials, and improve financial stability.
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Innovations in Patient Payment Plans: Enhancing Collections with Flexible and Patient-Centric Solutions
Discover the latest innovations in patient payment plans that are transforming revenue cycle management in healthcare.
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Why Practolytics is Your Key to Effective Cardiology Billing and Revenue Cycle Management?
Practolytics offers comprehensive solutions designed specifically for cardiology practices, helping streamline billing processes and optimize revenue cycle management (RCM).
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New CPT Codes Released: Essential Updates for 2024-2025 Vaccine Administration
Discover the latest updates from the American Medical Association on new CPT codes for the 2024-2025 flu season, including crucial changes for meningitis, pneumonia, and RSV vaccines.
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Quality Assurance in Teleradiology: Driving Accuracy and Financial Success Through RCM
Discover the strategies and innovations that can help you optimize both clinical outcomes and financial stability in the evolving landscape of teleradiology.
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Transparency in Healthcare Costs: The Role of Billing Offices in Patient Advocacy
Explore how billing offices play a crucial role in patient advocacy by improving health insurance literacy and transparency.
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Boost Your Orthopedic Practice’s Efficiency and Profitability with Expert Revenue Cycle Management
Orthopedic practices face unique challenges with complex coding, insurance management, and maintaining financial stability.
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Enhance Cardiology Practice Profits with Prior Authorization Expertise from Practolytics
Learn best practices for managing prior authorization and see how outsourcing to our expert team can streamline your billing process, reduce claim rejections, and improve cash flow.
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Essential RCM Tips to Maximize Urology Billing Reimbursements
Explore the benefits of partnering with Practolytics to streamline your billing process and ensure financial success.
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Strategies to Boost Patient Participation in Oncology Clinical Trials: Insurance Incentives and RCM Integration
Explore how insurance coverage incentives and effective Revenue Cycle Management (RCM) strategies can remove financial barriers, increase patient participation, and drive innovation in oncology clinical trials.
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Key CPT Codes for Cardiologists: Essential Billing Tips for Optimal Reimbursement
Discover the key CPT codes every cardiologist should know to ensure accurate billing and optimal reimbursement. This guide covers essential cardiac codes, their significance, and practical billing tips to enhance your clinic's financial performance and compliance.
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Optimize Your Revenue Cycle Management with Practolytics: Achieve Financial Stability and Efficiency
Discover how Practolytics Consulting can transform your clinic's revenue cycle management.
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Elevating Orthopedic Billing Accuracy: Practolytics’ Approach to Quality Assurance and Key Performance Indicators
Discover how Practolytics transforms orthopedic billing with meticulous quality assurance and performance metrics.
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Are You Losing Revenue Due to Bariatric Billing Errors?
Discover the complexities of bariatric billing and learn how to optimize your practice’s revenue cycle.
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Simplified Telehealth Billing for 2024: A Guide to New CMS Guidelines and Best Practices
This comprehensive guide explores the new POS codes, billing modifiers, and coverage details to help healthcare providers navigate the evolving landscape of telehealth reimbursement with confidence.
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The Interaction of Cybersecurity and Medical Billing: Protecting Sensitive Data
Learn about the increasing cyber threats to healthcare data, essential regulatory frameworks like HIPAA and GDPR, and the role of advanced technologies in safeguarding patient information.
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Why Patients Should Challenge Claims Denials and How to Get Started
Learn practical steps to challenge denied claims and discover how partnering with experts like Practolytics can empower you to secure the care you deserve.
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Outsourcing vs. In-house Billing: Making the Right Choice for Your Orthopedic Practice
Struggling with billing complexities in your orthopedic practice? Discover the pros and cons of in-house versus outsourced billing solutions.
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Cardiology Billing 101: Understanding Codes, Reimbursements, and Compliance
Discover how to optimize your revenue cycle management with advanced tools and techniques that enhance both financial stability and patient care.
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Ensure Timely and Accurate Urology Billing with Practolytics
Discover how Practolytics transforms urology billing with expert coding, cost-effective solutions, and timely claim submissions.
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Essential Tips for Error-Free Orthopedic Billing and Coding: Boost Your Practice’s Financial Health
Discover how accurate billing and coding are critical to the financial health of orthopedic practices.
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Transform Your Revenue Cycle Management with Practolytics: From Challenges to Financial Success
Is your medical practice struggling with revenue cycle management (RCM)? Discover how Practolytics can help you overcome billing challenges, increase efficiency, and achieve financial success.
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Adapting to Value-Based Care Models: RCM Strategies for Success
Maximize your revenue cycle management (RCM) processes in value-based care models. Learn how to improve patient engagement, enhance care coordination, and reduce costs with our expert guide
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Navigating Compliance and Privacy in Behavioral Health RCM Outsourcing
Explore the challenges and best practices for ensuring legal compliance and patient privacy in outsourcing Revenue Cycle Management (RCM) for behavioral health.
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Radiology-Pathology Integration: Advancing Diagnostic Accuracy and Revenue Optimization in Healthcare
Discover how the integration of radiology and pathology enhances diagnostic accuracy and treatment planning while optimizing revenue cycle management.
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Ethical Considerations in Medical Billing: Balancing Profit and Patient Care
Explore the ethical considerations in medical billing and discover how balancing profitability with patient care can enhance trust and compliance.
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Green RCM: Sustainable Practices in Medical Billing and Revenue Cycle Management
Explore how Green RCM is revolutionizing the healthcare industry by integrating sustainable practices into medical billing and revenue cycle management.
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How Practolytics Transforms Patient Financial Engagement to Optimize Revenue Cycle Management
Discover how Practolytics enhances patient financial engagement to optimize revenue cycle management for healthcare providers.
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Transforming Medical Billing in the Telehealth Era: Strategies for Success with Practolytics
Explore how telehealth is reshaping medical billing in the healthcare industry. Discover how RCM companies like Practolytics provide essential solutions to navigate this new landscape, optimize revenue cycle management.
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Enhancing Behavioral Health Care Through RCM Outsourcing: Key Success Stories and Best Practices
Explore how outsourcing Revenue Cycle Management (RCM) in behavioral health enhances financial performance and patient care.
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Revolutionizing Radiology Revenue Cycle Management with AI: Ethics, Accuracy, and Strategic Compliance
Explore how Artificial Intelligence is revolutionizing radiology Revenue Cycle Management. This detailed guide covers the ethical implications, enhances billing accuracy, ensures compliance
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Maximize Savings and Efficiency with AdvancedMD: A Guide to Platinum Partner Benefits
Discover cost-saving strategies for AdvancedMD users. Learn how to leverage Platinum Partner benefits with Practolytics to optimize practice efficiency, reduce expenses, and enhance patient care.
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Overcoming Billing Denials in Wound Care: Strategies for Enhanced Revenue Cycle Management
Discover effective Revenue Cycle Management (RCM) strategies to tackle denials in wound care billing. Learn how root cause analysis, improved documentation, automated billing.
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Maximizing Efficiency and Savings: A Guide to AdvancedMD Fees for Healthcare Practices
Learn about the pricing structure, bundle customization, and the role of Practolytics in enhancing efficiency and reducing costs. Maximize your practice’s financial performance with AdvancedMD and Practolytics.
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Enhance Physical Therapy Operations: The Strategic Benefits of RCM Outsourcing
Learn how leveraging external expertise can enhance patient care, improve financial performance, and navigate the complexities of RCM with ease.
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Ensuring Equitable Access to Immunotherapy: Overcoming Financial and Insurance Challenges with Practolytics
Explore the challenges of accessing immunotherapy for underserved cancer patients and learn how Practolytics' RCM solutions can help oncology practices ensure equitable access and financial sustainability.
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Effective Revenue Cycle Management Strategies for Boosting Profitability in Wound Care
Discover effective Revenue Cycle Management (RCM) strategies tailored for wound care facilities to enhance profitability, streamline operations, and ensure compliance.
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Leveraging Technology in RCM Outsourcing for Enhanced Physical Therapy Management
Explore how technology-driven Revenue Cycle Management (RCM) outsourcing can transform physical therapy practices. Learn about the benefits, common challenges, and best practices for implementation.
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Innovations in Survivorship Care Models: Integrating Survivorship Planning into Value-Based Oncology Practices
Learn how Practolytics’ RCM solutions support these innovative care models for seamless implementation and improved financial health of oncology practices.
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From Billing to Patient Relationship Management: Practolytics’ Zero-Cost Access to AdvancedMD
Explore the dynamic synergy between Practolytics and AdvancedMD in revolutionizing medical practice management. Discover how Practolytics offers free access to AdvancedMD.
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Future Direction for Prior Authorization Reforms: Enhancing Efficiency and Access
Explore the future of prior authorization reforms, including legislative measures, technology advancements, patient engagement, and privacy issues. Learn how these changes can improve healthcare access and efficiency.
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Optimize Revenue & Minimize Denials with AdvancedMD’s Effective Billing Strategies
Discover how AdvancedMD's advanced billing solutions, in partnership with Practolytics, streamline healthcare operations, reduce claim rejections, and enhance financial stability for medical practices.
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Navigating Novel Codes for Extended Therapy Sessions
Explore effective strategies for navigating the recent changes in therapy billing codes with our comprehensive guide.
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Transforming Radiology with Patient-Centered Care: How Practolytics’ RCM Services Drive Success
Discover how patient preferences and shared decision-making are transforming radiology with patient-centered care models.
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Mastering Revenue Cycle Management: How AdvancedMD and Practolytics Revolutionize Healthcare Practice Efficiency
Discover how AdvancedMD and Practolytics streamline revenue cycle management for healthcare practices.
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Employer Mental Health Benefits: Addressing Burnout and Stress in the Remote Work Era
Discover how Practolytics' RCM solutions help healthcare organizations optimize operations while offering mental health benefits to combat remote worker burnout and stress.
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The Art of Radiology Coding: Key Principles and Pitfalls to Avoid
Learn how Practolytics' expert RCM solutions can help radiology practices streamline coding processes, avoid common pitfalls, and enhance financial performance while focusing on exceptional patient care.
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Technology Solutions for Reducing Prior Authorization Delays
In the healthcare sector, prior authorizations are critical yet cumbersome, often leading to delays and administrative burdens. This article explores how advanced technologies such as AI and EHRs are revolutionizing the prior authorization process.
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The Benefits of Outsourcing RCM in Physical Therapy Practice
Explore how outsourcing Revenue Cycle Management (RCM) can transform the financial health of physical therapy practices.
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Mastering Medicare: A Therapist’s Comprehensive Guide and Practolytics’ Role in Practice Success
Discover essential insights into Medicare participation for therapists, including opt-out procedures and private contract considerations.
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AdvancedMD Integration: How to Seamless Connect Your Practice for Better Efficiency and Lower Fees
Discover how AdvancedMD can revolutionize your healthcare practice through seamless integration and efficiency enhancement. Learn about its comprehensive tools for practice management, EHR, and RCM
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Enhancing Compensation in Wound Care: Approaches for Streamlining Revenue Cycle Management
This article explores comprehensive approaches to streamline RCM specifically tailored for wound care practices.
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The Cost-Benefit Analysis of Outsourcing Prior Authorization in Healthcare Practices
It explores how outsourcing can optimize healthcare practices by freeing up resources for patient-focused activities and improving overall service delivery.
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The Insurance Conundrum in Couples Therapy: Challenges and Solutions
Learn how Practolytics can assist therapists in securing better reimbursements and streamlining revenue cycle management for sustainable practice growth.
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Why Patient Eligibility and Benefits Verification Matters: Avoiding Denied Claims and Frustrated Patients
Explore the cascading impact of denied claims in healthcare and discover how automated Eligibility & Benefits (E&B) verification systems can revolutionize patient care.
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Radiology’s Patient-Centric Billing: Improving the Experience with Ease!
Discover how patient-centric billing practices can transform your radiology practice. In the dynamic healthcare landscape, optimizing billing procedures is crucial for patient satisfaction.
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How Practolytics Maximizes Revenue for Your Orthopedic Practice?
Navigating the complexities of orthopedic billing requires more than just accuracy in coding and claims submission—it demands a strategic approach to revenue optimization.
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Optimizing Telemedicine Reimbursements in Gastrointestinal Care: Addressing Constraints and Solutions
Explore the transformative impact of telemedicine on gastrointestinal care, driven by technological advancements and increased remote healthcare demand.
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The Importance of Documentation in Wound Care Revenue Cycle Management (RCM)
Discover why thorough documentation is crucial for accurate reimbursement in wound care Revenue Cycle Management (RCM). Explore best practices to enhance documentation quality, support compliance, and optimize revenue outcomes.
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Understanding Prior Authorization for Medication: How Long Does It Take?
Discover the ins and outs of medication prior authorization: why it's necessary, typical approval times, and strategies to expedite the process. Stay informed to ensure timely access to essential treatments.
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Unveiling the Shifting Terrain of Oncology Billing: Exploring Emerging Trends and their RCM Ramifications
Discover the latest trends transforming oncology billing and their impact on Revenue Cycle Management.
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Effective RCM for Physical Therapy Practices: Say Goodbye to Claim Denials
Discover key strategies to prevent claim denials and boost your physical therapy practice's financial health with our comprehensive guide to Revenue Cycle Management. Learn how to optimize billing processes and enhance cash flow with Practolytics
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Navigating Healthcare Systems: Patient Rights and Appeal Strategies Against Authorization Denials
Discover how to navigate healthcare systems and effectively appeal prior authorization denials. This guide covers patient rights, legal protections, and practical strategies to secure necessary medical treatments.
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Streamlining Patient Care and Billing with AdvancedMD: A Guide for Healthcare Providers
Practolytics provides a comprehensive solution that integrates AdvancedMD seamlessly into your practice, offering bundled access to all its features. Now, you can handle scheduling, charting, billing, and patient relationship management efficiently, all in one place.
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The Impact of RCM Outsourcing on Patient Care in Behavioral Health Settings
This article delves into the transformative impact of outsourcing RCM processes, highlighting how it streamlines operations, improves financial stability, and ultimately empowers providers to prioritize patient well-being.
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Optimizing AdvancedMD Fees: Ways to Reduce Expenses in Healthcare Settings
Unlock the secrets to reducing AdvancedMD fees with our comprehensive guide tailored for healthcare providers. Learn practical strategies to minimize costs, streamline your operations, and optimize financial performance using AdvancedMD. Perfect for medical practices seeking to enhance efficiency and profitability.
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Mastering Oncology Billing Codes: Comprehensive Guide to Reducing Denials
Navigate the complexities of oncology billing with our detailed guide. Learn the essentials of HCPCS, CPT codes, and effective strategies to avoid denials, ensuring prompt reimbursements and financial stability for your cancer practice. Boost your revenue cycle management with expert
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Mastering Wound Care Billing Codes for RCM Success
Unlock the secrets to successful Revenue Cycle Management (RCM) with our in-depth guide on wound care billing codes. Learn about ICD10, CPT, and HCPCS codes, effective billing strategies, and how to overcome common challenges in wound care billing to ensure
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Efficient Management of Prior Authorization: Tips for Healthcare Providers
Discover key strategies for streamlining the prior authorization process in healthcare. This guide covers innovative tools, best practices for operational efficiency, and insights into leveraging technology to reduce administrative burdens, ensuring timely patient care and optimized revenue cycle management.
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Behavioral Health Billing: Optimizing Reimbursement for Mental Health Providers
Explore the complexities of behavioral health billing in our comprehensive guide. Learn about unique coding requirements, the impact of payer regulations, and effective strategies to optimize reimbursement.
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The Significance of Technological Advancements in Managing Wounds: Enhancing Operational Effectiveness and Precision
Explore how technological advancements in wound care management improve revenue cycle efficiency and precision. Learn about the role of EHR, AI, telehealth, and mobile health applications in overcoming traditional challenges in wound care RCM.
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Addressing The Limits of the New CMS Prior Authorization Rules
Explore the recent CMS updates aimed at improving prior authorization in healthcare.
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Unlocking Efficiency: The Role of APIs in the New CMS Prior Authorization Rules
CMS has rolled out fresh rules to change how prior authorizations work by using advanced electronic data exchanges.
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Eliminating Prior Authorization Delays: Boosting Efficiency in Physical Therapy Billing
In the healthcare realm, accessing mental health services remains problematic. Despite strides in
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Enhancing Patient Experience and Reducing Costs with AdvancedMD Platinum Partner
Taking care of patients isn't just about giving top-notch medical treatment. It's about every single
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New Prior Authorization Rules by CMS
The CMS has put out a new rule that aims to simplify and digitize the prior authorization process.
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Prior Authorization and Mental Health: Barriers to Accessing Essential Services
In the healthcare realm, accessing mental health services remains problematic. Despite strides in
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Coding Confidence: Tips and Tricks for Gastroenterology Billing Excellence
In the complex terrain of gastroenterology billing, coding is a pivotal aspect. Gastroenterology coders
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9 Key Factors for Successful Transition to Telehealth Practice
As the advent of the global pandemic slowly fades away and the world of healthcare evolves,
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The Impact of Prior Authorization on Patient Health Outcomes
Prior authorization (PA) is a key component of contemporary healthcare, dictating the timing and
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Ensuring Compliance in Wound Care Billing: RCM Guidelines and Best Practices
In the realm of wound care billing, compliance with regulatory guidelines is paramount to avoid penalties,
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Understanding the Key Differences Between Therapy and Coaching: A Comprehensive Guide
In the constantly evolving realm of mental healthcare services, oftentimes the distinction between coaching and therapy could seem hazy.
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Prior Authorization Barriers: Solutions for Improving Patient Care and Healthcare Efficiency
Prior authorization is a process used by health insurance companies to determine if they will
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Tackling Denials in Wound Care Billing: RCM Solutions for Improved Cash Flow
In the realm of healthcare revenue cycle management (RCM), efficient wound care billing plays a crucial role
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Finding Success: Credentialing Essentials for Radiology Practices
Credentialing in radiology practices is a meticulous process that involves verifying the qualifications, experience,
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The Role of Technology in Wound Care Revenue Cycle Management (RCM): Enhancing Efficiency and Accuracy
In the realm of healthcare, wound care management is a critical aspect of patient treatment. Whether it's a minor
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Don’t Let Denials Drain Your Revenue: Practolytics’ Approach to Denial Management in Physical Therapy Billing
Navigating billing as a physical therapist demands precise knowledge for seamless claims. This blog explores essential billing guidelines.
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Prior Authorization Power: Fueling Radiology Practice Revenue
Prior authorization, also known as pre-authorization or pre-certification, is a fundamental process mandated
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Breaking Down The Latest Oncology Coding Changes 2024
The 2024 annual update to the Current Procedural Terminology (CPT) represents a substantial shift in medical coding
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Common Wound Care Billing Pitfalls and How to Avoid Them: Tips for RCM Success
In the world of healthcare revenue cycle management (RCM), navigating the intricacies of wound care billing
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The Financial Advantages of AdvancedMD for Small Clinics: Saving More with a Platinum Partner
In today's rapidly evolving healthcare environment, clinics need to be efficient and precise to succeed.
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Optimizing Reimbursements in Wound Care: Strategies for RCM Efficiency
Wound care is a critical aspect of healthcare, encompassing a wide range of conditions from
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Leveraging AdvancedMD to Improve Practice Management: Tips from a Platinum Partner
As the healthcare sector evolves rapidly, clinics and professionals need to manage their practices efficiently to succeed.
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Maximize Your Podiatry Practice’s Revenue: Expert Insurance Reimbursement Strategies for Podiatrists
Podiatry is a medical specialty focused on the prevention, treatment, and diagnosis of foot and ankle disorders
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Mastering Prior Authorization for Debridement Process
In the intricate and multifaceted realm of healthcare, successfully maneuvering through the prior authorization process
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Navigating Wound Care Billing Codes: A Comprehensive Guide for RCM Success
Wound care billing can be a labyrinth of codes, regulations, and guidelines, making it challenging for
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Understanding Oncology Billing: A Comprehensive Introduction
Oncology billing is an intricate system encompassing the meticulous management
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Addressing Challenges in Gastroenterology Billing
Navigating common challenges in gastroenterology billing is pivotal for
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The Complete Guide to Podiatry Billing: Essential Strategies for Practice Success
Within the healthcare sector, podiatry holds a vital position in ensuring individuals' well-being
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Overcoming Credentialing Challenges in Debridement Billing
In healthcare industry, making sure doctors and nurses have the right credentials
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How Partnering With a Platinum AdvancedMD Provider Can Reduce Your Clinic’s Operational Costs?
The 21st century has witnessed an unprecedented shift towards digital transformation in various sectors
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Mastering Podiatry Coding: Key to Maximizing Billing Accuracy and Revenues
One often overlooked aspect of this intricate process is podiatry coding
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The Vital Role of Accurate Documentation in DME Billing: Cultivating Efficiency and Maximizing Revenue
In this comprehensive blog, we will look into the importance of accurate documentation in DME billing
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Revolutionizing Healthcare Through Enhanced Patient Engagement and Technological Innovations
Patient engagement, once a buzzword in healthcare, has evolved into a transformative force shaping the future
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Common Challenges in Podiatry Billing and How to Overcome Them?
The complexities of podiatry billing necessitate a thorough understanding of podiatry medical coding, compliance
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Mastering Podiatry Billing: Essential Guide to Optimizing Financial Health
In the field of healthcare, podiatry is an important component in ensuring individuals' overall well-being.
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Mastering DME Billing for Maximizing Healthcare Revenue and Enhanced Patient Care
In today's dynamic healthcare ecosystem, where advancements in medical technology and patient care
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Breaking Down DME Billing: A Must-Know for Optimal Healthcare Management
DME comprises a wide range of devices and equipment prescribed by healthcare professionals to help patients
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The Crucial Role of Electronic Health Records (EHR) in Telehealth Integration: A 2024 Perspective
The 21st century has witnessed an unprecedented shift towards digital transformation in various sectors
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How Technologies and Digital Tools are Reshaping the Credentialing Process in 2024?
In the rapidly evolving landscape of education and professional development, technology and digital tools
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Overcoming DME Billing Challenges: Expert Strategies for Enhanced Revenue and Compliance
In the healthcare sector, the management and billing of Durable Medical Equipment (DME) have become crucial
-
Trends and Issues in Medical Coding Auditing in 2024
The landscape of healthcare administration is marked by its continual evolution, with medical coding
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Navigating the Cybersecurity Landscape in Healthcare Coding 2024
In the intricate tapestry of modern healthcare, the role of medical coders extends far beyond the surface
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Exploring the Depths of Hyperbaric Oxygen Therapy (HBOT) Billing: A Definitive Handbook
Venturing into the realm of Hyperbaric Oxygen Therapy (HBOT), we delve into a medical milieu
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Strategies to Reduce Credentialing Backlogs in 2024
The healthcare sector undergoes constant changes, adjusting regulations to align with evolving needs.
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AdvancedMD – Why it Leads the Pack in EHR Solutions for 2024
In the ever-evolving realm of healthcare technology, where innovation is the driving force, the selection of the right EHR
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Navigating Home Health and Wound Care Billing: Best Practices for Success
Home healthcare and wound care are integral components of the healthcare industry, contributing significantly
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Charting the Future: Navigating 2024’s Healthcare Credentialing with Practolytics
The healthcare sector undergoes constant changes, adjusting regulations to align with evolving needs.
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Mastering Negative Pressure Wound Care Therapy: CPT Codes and Possible Denials
Negative Pressure Wound Therapy (NPWT) has evolved into a sophisticated and widely adopted approach in modern wound care.
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Revenue Cycle Management: Where Financial Success Meets Healthcare in 2024
In the ever-evolving landscape of healthcare, the intricate association between financial success
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Unlocking the Potential: How Medicaid and Medicare Drive Success in Behavioral Health Billing?
Behavioral health practices are vital for improving the well-being of individuals facing mental health and substance use disorders
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Strategic Wisdom: The Benefits of Outsourcing Healthcare Compliance Audits
Amid the ever-changing realm of healthcare regulations and compliance, healthcare providers grapple with growing
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Tapping into the Strength of Prior Authorization: Paving the Way for Healthcare Revenue Triumph
Within the intricate landscape of healthcare Revenue Cycle Management (RCM), "Prior Authorization" frequently remains
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Decoding Eligibility and Benefits Verification: Your Key to Healthcare RCM Excellence!
In the realm of healthcare Revenue Cycle Management (RCM), the paramount objective is to safeguard that patients access.
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Decoding CPT: Your Guide to Codes and Regulations 2024
Every New Year heralds the arrival of updated CPT codes and guidelines effective from January 1, 2024.
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Efficient and Error-Free Wound Care Billing: Unveiling the Practolytics Method
Effective billing is of utmost importance in the healthcare sector, where cost-efficiency is critical.
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Optimizing Healthcare Revenue: A Pro’s Guide to Mastering Medical Coding
In the complex realm of healthcare, maintaining a steady stream of revenue is crucial for the survival and advancement
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Mastering Healthcare Payer Contract Negotiations: Securing Your Financial Sustainability
Negotiating contracts is a vital and intricate element of the healthcare sector, with significant repercussions
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Securing Healthcare Excellence: The Crucial Role of Medical Credentialing
Healthcare credentialing is a crucial process within the healthcare industry, ensuring the competence
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Unveiling Healthcare’s Financial Backbone: Medical Billing
In the dynamic and constantly changing realm of healthcare, medical billing serves as a cornerstone in safeguarding
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Empowering Healthcare in 2024: Unleashing the Potential of EHRs for Seamless Data Exchange and Interoperability
In recent years, the healthcare sector has undergone a significant transformation, largely driven by technological innovations
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Navigating Healthcare Compliance: Safeguarding Patient Well-Being and Legal Integrity
Healthcare organizations follow stringent regulations to protect the well-being, privacy, and safety of patients.
-
Practolytics: Revolutionizing Healthcare Finances in 2024 with EHR Integration
In the dynamic landscape of healthcare, the year 2024 brings substantial promise for practices and healthcare professionals.
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Revolutionizing Wound Care Billing: Outsourcing for Optimal Efficiency and Profitability
This article explores the advantages of outsourcing your wound care billing requirements.
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Exploring the Future of Healthcare RCM: A 2023 Market Analysis
The Healthcare Revenue Cycle Management (RCM) market is undergoing a transformation with
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Maximizing Healthcare Revenue: The Power of Practolytics’ RCM Services
In the intricate world of modern healthcare, overseeing a healthcare facility involves more than
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ICD-10-CM 2024 Updates: What Healthcare Professionals Need to Know? PART – 2
In the first part of our discussion on the 2024 updates to ICD-10-CM, we explored the updated ICD-10-CM codes
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ICD-10-CM 2024 Updates: What Healthcare Professionals Need to Know? PART – 1
Join us as we embark on a journey through the intricacies of ICD-10-CM 2024 updates, equipping professionals
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Navigating the Complexities: 7 Common Dermatology Billing Mistakes to Steer Clear Of!
Effective dermatology billing is a vital component that ensures the seamless operation of medical practices while safeguarding patients' well-being.
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Billing Guidelines Every Physical Therapist Should Know for Error-Free Claims
Navigating billing as a physical therapist demands precise knowledge for seamless claims. This blog explores essential billing guidelines.
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Driving Revenue Growth: Strategic Billing Solutions for Behavioral Health Practices
In the field of behavioral health, a crucial aspect that demands attention is revenue growth.
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Unravelling the Intricacies of Wound Care Billing: A Comprehensive Guide
This blog delves into wound care billing, its impact on practices, and the efficiency boost through outsourcing.
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Dermatology Revenue Cycle: An Introductory Guide to Billing Practices
This comprehensive blog delves into the fundamental components of billing within the dermatological sphere.
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Navigating the Basics of Physical Therapy Billing: A Comprehensive Introduction
As you navigate the complexities of physical therapy billing, Remember that expertise in this field is essential for fostering.
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Why Upcoding and Downcoding Can Make or Break Your Revenue?
Upcoding and downcoding are two practices that can significantly impact your revenue generation, either positively or negatively.
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Wound Care Coding Demystified: A Guide to Accurate Billing
In this blog, we will break down the complexities of wound care coding and provide healthcare professionals with a comprehensive instruction.
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The Unstoppable Rise of the Medical Billing Outsourcing Market
Outsourcing RCM services has massive benefits over in-house staff and is of absolute requirement.
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Maximizing Revenue with Strong Medical Coding and Documentation Processes
In this blog post, we will explore the importance of strong medical coding and documentation processes in maximizing revenue.
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Charge Entry and Revenue Cycle Management: Understanding the Connection
In this blog, we will explore the importance of this process in RCM and provide valuable insights into best practices for optimizing this process.
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Implementing an Effective Denials Management System
Not maintaining an efficient denials management system could bring about huge revenue loss for healthcare providers.
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The Importance of Patient Scheduling and 6 Best Practices
Patient scheduling is a vital process in the healthcare industry that enables medical practices.
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Mastering Transitional Care Management Codes Can Transform Revenue Flow
As a practitioner, it is essential to meet your patient's needs and ensure that they are free of pain and problems.
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Understanding Eligibility and Benefits Verification: A Guide for Medical Practices
Eligibility and benefits verification is an essential process for healthcare providers to determine a patient's insurance coverage and benefits
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A Quick Guide for Clearing Your Confusions on Claims Rejection
No provider deserves to sit with cash flow issues after so much work and effort, but medical claims
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Enhancing Patient Care Through Effective Public Health Emergency Coding
Your top priority as a healthcare provider is to deliver the best possible treatment to your patients.
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Unwinding the Salient Steps of Insurance Verification
Contacting the payer company to confirm the benefits coverage of your patients and determine
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4 Alternative Ways to Ensure Insurance Coverage from Indiana Medicaid Program
This article describes the 4 alternative ways you can make sure that the primary claim to Indiana Medicaid Programs gets approved.
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Learning the Root Causes of Fraud, Abuse, and Waste in Healthcare
In healthcare, fraud, waste, and abuse occur as a result of errors. This adds to incorrect coding, billing,
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Top 5 Medical Billing Software to Look Out For in 2023
Medical billing software is essential for healthcare providers and medical practices in 2023
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Health Insurance Eligibility Verification Guide and Process
In the healthcare industry, insurance eligibility verification is a crucial process that healthcare providers must perform
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Improving Patient Billing: 7 Fundamental Tips to Incorporate
Patient Billing is a time-consuming process that gets really complicated and chaotic for the providers to handle.
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Effective Documentation: A Crucial Factor in Revenue Management Success
As a healthcare provider or practice, revenue management is essential to your success.
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Resolving Your Ongoing Insurance Eligibility Denials Headaches
Appreciate everyone who makes an effort and saves time on claims that are rejected.
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Top 5 Benefits of Outsourcing Medical Billing Management in 2023
Outsourcing medical billing management has become increasingly popular in the healthcare industry.
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3 Ways Recruiters Can Save You Time and Money on Healthcare Staffing
If you operate in a healthcare setting, chances are you'll need to recruit more employees.
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Chronic Care Management Payments are Within Your Reach with Accurate Coding
As a result, there are particular coding guidelines framed for Chronic Care Management services (CCM).
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Split Up Struggles from Patient Scheduling with Superior Software Tools
Patient scheduling directly affects patient satisfaction, revenue management, and your workflow capacity.
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5 Key Reasons to Outsource Insurance Verification
When we want to buy a new appliance, we have a natural tendency to compare products to discover which one is superior
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8 Emerging Healthcare Trends to Look Out for in 2023
Remote billing in healthcare is a time saver, made possible by technological innovations.
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Medical Billing Practices for Physical Therapy Telehealth Services for 2023
Telehealth services have been blooming ever since covid-19 due to their convenience and reliability. In physical therapy centers
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Healthcare Spending – How Nitra’s Credit Card and Spend Management Software Can Help
In the healthcare industry, financial management is crucial to maintain operations, provide quality care, and stay profitable.
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Make Your Eligibility Checks Complete with Proper Verification
The insurance eligibility and benefits verification services entails verifying the patient's insurance.
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Vision for Medical Billing in 2023
Remote billing in healthcare is a time saver, made possible by technological innovations.
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2023 Medicare Physician Billing Policies You Might Not Be Aware Of
Look at the below listed revised rules that will influence Medicare practitioners for different practice services.
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6 Crucial Steps in Provider Healthcare Credentialing
To understand the significance of medical credentialing services, also known as insurance credentialing, let's first address
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Primary Purpose for Eligibility and Benefits Verification
To reduce denials, eligibility and verification services are critical. Read to know more about this process
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Uplift Your Practice Revenue by Outsourcing Medical Billing in 2023
The medical billing business has grown dramatically in the last five years, with revenue estimated to reach $65 billion by 2023!
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Updated Urgent Care Billing and Coding Guidelines to Follow in 2023
Here is a detailed look at the 2023 urgent care billing and coding regulations.
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Reviving Prior Authorization with Electronic Processing
To make things easier and quick to process, electronic prior authorization was introduced.
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How Much Dollars Are You Losing on Medical Credentialing?
For every practitioner, the healthcare credentialing process costs around $20,000 annually at a cost of $100 per hr.
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Five Apparent Advantages of Using Advanced Health Insurance Verification
When you start caring for a patient who is not covered by your insurance policy, you may lose money or have a lot of work after the service.
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Top 5 Global Medical Billing Trends to Expect in 2023
The medical billing sector is rapidly evolving to accommodate the changing demands. Several trends will change how medical billing systems operate in 2023.
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What Makes Outsourcing the Best Method for Prior Authorizations?
Outsourcing your prior authorization processes will assist you in increasing your profit margins, claims processing, and reimbursements.
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Crucial Steps for Effective Provider Credentialing and Enrollment in 2023
Let's look at the distinction between provider credentialing & enrollment, as well as the key actions you must follow
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Everything You Need to Know About Insurance Eligibility Verification
We humans always prefer assurance, how do you bring that sense within you, one way to bring is, by verifying.
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Prior Authorization in Healthcare: The Shocking Reality
Prior Authorization has now become the talk of the hour for healthcare sectors. Let us see some problems faced by practices during the PA processing
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Everything You Need to Know About Primary Source Verification
Primary Source Verification (PSV) is really a crucial stage in the healthcare credentialing procedure that businesses must truly understand.
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Extending the Use of Insurance Verification to Outperform Your Competitors
Did you realize that eligibility and benefits verification will also put you in the same scenario, with a less presumed outcome?
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The Perks of Outsourcing Prior Authorization Services
Everyone will eventually need medical treatment, even though most individuals don't anticipate being sick or harmed.
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5 Tips for Mental Practices to Meet Credentialing Standards
The five elements influencing the insurance healthcare credentialing procedure for group practices are listed
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CMS 2023: Outlining the Home Health Updates for the New Calendar Year
Here we have listed the essential outline of the CMS 2023 Home Health updates.
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5 Ways to Improve Urgent Care Morale During Unpredictable Times
Here are a few tips to enhance the clinic morale for urgent care facilities. Check out this blog to know more.
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Answers to Frequently Asked Queries About Eligibility Verification
The main aid that we get from Health insurance verification, is that providers can get accurate information
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Reduce Your Workload by Outsourcing Prior Authorization
By teaming with an experienced prior authorization outsourcing service company, you can reduce your operational workload.
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5 Healthcare Credentialing Procedure Pitfalls to Prevent in 2023
Healthcare credentialing is necessary for practitioners, nurses, medical assistants, & therapists.
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Active Role of Eligibility Verification in Claims Approval
Reading through this blog you can get more on the process involved, and also get a thorough knowledge of the topic.
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The Importance of Provider Contracting and the Risks Associated with It
Upon signing a contract with an insurer, there are a number of factors to take into account.
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Enhance Urgent Care Value with Specialty and Ancillary Services
The choices are endless for Urgent Care facilities and it is continuously evolving. With new requirements come newer ideas and opportunities to exhibit.
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5 Strategies for Accelerating Payor Enrollment Credentialing
Health organizations, clinics, & healthcare systems are facing increased expenditures and declining reimbursements.
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A Quick Examination of How Your Eligibility and Benefits Verification Must be
To be more precise and understandable, Evbv is the assurance that providers can get before giving services.
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FAQs on Mental and Behavioral Health Billing: Part – 2
Let us go ahead with the most frequently asked questions on Mental & Behavioral Health Billing, along with their solutions.
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Mastering EHR Integrations for Electronic Prior Authorization
By reducing clinician workload and delivering medicines to patients very swiftly, automating prior authorization services can result
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The Rapidly Changing World of Practice Management: Negotiating Payer Contracts
Managing a practice is no walk in the park and when revenue pressure surfaces, many physicians face difficulty.
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Boost Your Profitability by Eligibility and Benefits Verification
Read through this article to understand the need for this verification and the assistance they give to you.
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3 Ways to Improve Prior Authorization Services for Your Practice
Get to know the three major ways that could help boost your health insurance prior authorization services.
-
What Must be Done for Successful Payer Contract Negotiations?
For better reimbursement rates, reduced denials, and improved contractual agreements, it is important to understand the need
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AMA Issues 2023 CPT Code Set in an Effort to Reduce E/M Coding Burden
The AMA- American Medical Association recently published the CPT - Current Procedural Terminology - codes list for 2023
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Common RCM Mistakes and Ways to Avoid Them
The most prolific healthcare revenue cycle mistakes that health providers make and which negatively impact performance metrics, are listed below.
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Coding Guidelines: COVID-19 Vaccination and Treatment
Let us look into some of these codes that were exclusively compiled for COVID-19.
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Top 3 Urgent Care Metrics that Emerged During the Pandemic
The demand for Urgent Care clinics kept skyrocketing and increased dramatically over the weeks of COVID-19 emergence.
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5 Medical Credentialing Challenges and Their Solutions
We'll explore some of the healthcare credentialing system's most prominent challenges in this blog article.
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How to Get a Prior Authorization Request Authorized?
Following are a few suggestions to ensure you get the prior auth request granted.
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Primary Care Services in Urgent Care: Why to Consider?
Incorporating primary care into Urgent care is therefore a boon. Let’s see how primary care advocates growth in the Urgent Care industry.
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FAQs on Mental and Behavioral Health Billing: Part – 1
The questions and answers that are frequently asked about billing for mental & behavioral health services are shown below.
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6 Signs It’s Time to Outsource Your Healthcare RCM Services
How can you determine if outsourcing your healthcare RCM services is a good idea?
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Importance of Medical Documentation and Diagnosis Coding in Mental Health Billing
The medical record documentation must be up-to-date, and accurate. Listed below are a few must have details of a medical record.
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Artificial Intelligence: Impact on Revenue Cycle Management
Let us look into a list of processes in RCM that can be effectively automated with Artificial Intelligence.
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6 Essential Billing Practices for Mental and Behavioral Health
Let us look into 6 best ways to enhance mental and behavioral health billing.
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Importance of Preauthorization in RCM
The PA is crucial to RCM because payers must validate whether a certain service or treatment will be compensated.
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How to Bill for Mental Health Services: A Beginner’s Guide
It is important for everyone to understand what mental healthcare billing is right from its basics.
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Role of Preauthorization in Medical Billing Services
In medical billing, authorization is the process through which the payer accepts to cover the recommended treatments before they are administered.
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2023: New Changes and Updates in ICD-10 CM Codes
Below are the excerpts of some significant changes in the ICD-10 CM that are effective October 1, 2022.
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Analyzing Prior Authorization in Healthcare Insurance
Outsourcing your prior authorization processes will enhance your profit margins, claims processing, and then reimbursements.
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The True Importance of Credentialing in Healthcare
Working with healthcare software solutions without medical credentials might be incredibly tough.
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5 Approaches to Streamline Prior Authorization Turnaround Times
Here are some strategies for achieving faster prior authorization turnaround times.
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Why is Medical Documentation with EHRs Important in Practices?
The EHR is the patient's digitalized medical record. These solutions are real-time and patient-centered, providing immediate information access.
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Ways to Avoid Common Medical Billing and Coding Errors
In knowing the complexities of medical billing and coding, it is unsurprising that errors can occur during the process.
-
The Importance of RCM in Healthcare
RCM has a wide range of applications that can assist healthcare organizations in enhancing their financial performance and patient care.
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Effect of Telemedicine on Urgent Cares in the Post-Covid Era
Telemedicine supports patients in rural areas with high-quality services through some top-notch physicians on the line.
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5 Reasons Why You Should Outsource Your Medical Credentialing
Seeking a credentialing partner, would allow healthcare organizations to prevent these negative consequences.
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Practolytics’ Compliance Audits will Strengthen Your Healthcare! Here’s Why
Compliance audits are an everyday occurrence if you operate in a regulated industry. Compliance can be difficult and audits can be intimidating without proper systems.
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Developing Innovative Medical Billing Models for Value-Based Payments
Payers and healthcare organizations must use medical billing solutions to meet the value-based payment in healthcare.
-
7 Best Approaches for RCM in Medical Billing
Investing in RCM for medical billing may be a long-term plan for managing billing and claims.
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Why Should You Incorporate Eligibility Verification in RCM?
Eligibility verification is the process of checking the patient’s insurance details to verify coverage and benefits under the patient’s plan.
-
Tips to Enhance the Urgent Care Growth and Improve Patient Volume
Here are a few ways how Urgent Care facilities can improve their business growth and increase patient volume.
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Challenges Faced by Specialty Healthcare Facilities While Optimizing RCM
To ensure successful revenue cycle management, healthcare organizations must work towards strategic goals.
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How to Handle Urgent Care Staff Burnout
Here are a few tips that Urgent Care Centers can instil to ensure substantial growth of their business.
-
Industry Trends in Urgent Care that will Have a Major Impact on Revenue
The major changes in the system included new ideas to improve patient loyalty, medications, public awareness, and brand marketing.
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Essential RCM Trends for 2022 and Beyond
Let us look into major trends in Revenue Cycle Management that have booked their place in the market for the longer run.
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Using Team Culture to Enhance Urgent Care Services
The rise in the number of Urgent Cares in the country has pushed them to come up with strategies to land the recognition of their brands.
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Top 9 KPIs for Effective Revenue Cycle Management
By gauging these 9 KPIs, practices or RCM experts can obtain a stay on top of the revenue cycle process.
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Importance of Business Intelligence in Revenue Cycle Management
BI is an essential component to ensure the longevity and stability of any business. Let's drill down to how Business Intelligence in RCM.
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Top 8 Features That You Must Look for in an Urgent Care Software
Let us look at the 8 points to take into account while choosing an Urgent Care software.
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How to Enhance Urgent Care Revenue in 2022 and Beyond?
Let us look at the 7 key ways that can help Urgent Care owners maintain positive cash flow, meet business requirements, and enhance the Urgent Care revenue.
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Top 7 Ways to Improve Medical Coding for Your Practice
Here are seven ways to incorporate into your practice in order to improve medical coding quality.
-
What are the Leading Practice Management Software Platforms?
Here are the top 7 Practice Management Software one must know to optimize medical practice processes.
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How to Address Manpower Shortage in Revenue Cycle Management?
Let us look at a few strategies that could help mitigate the manpower shortage issues.
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How to Improve the Staffing Efficiency in Urgent Care Services?
Here are the key pointers that could help Urgent Care Industry to improve its hiring strategy and retain its existing staff.
-
Is Your Revenue Cycle Team Exhausted?
This article talks about the causes of manpower shortage in the revenue cycle and how outsourcing could benefit them.
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How 2021 Healthcare Trends Impact the Medical Practices in 2022?
The following are the changes that were inferred in the year 2021 as a result of meeting unexpected challenges for healthcare systems
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5 Qualities that a Front Office Staff must Possess in an Urgent Care Facility
Front office staff plays a major role in Urgent Care facilities. Here are the top 5 qualities that front office staff must incorporate.
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Four Trends in the Urgent Care Industry that Transformed Revenue
The trends followed by the Urgent Care Industry during the crisis have had a major shift in the incoming revenue. Here are a few best trends
-
Why Should You Outsource and Offshore Medical Coding Processes?
Outsourcing and offshoring are two imperative factors that could help boost your revenue cycle process.
-
RCM KPIs That You Need to Keep Track of at Your Practice
There are many performance indicators that should be tracked regularly in an attempt to understand how well your practice is doing.
-
Is Your Practice Ready to Deal with the Challenges of Medical Billing?
The whole medical billing process can just be a very challenging, time-consuming, and tedious task.
-
Common Issues in AR Management and How to Overcome them
There are several consequences of poor AR management, with the most obvious being reduced cash flow.
-
Pros and Cons of Outsourcing Medical Billing at Your Practice
There are quite a few benefits of doing so, however, there are three that stand out.
-
Importance of Claim Denial Management Audits for Your Practice’s Revenue
Denial management is meant to help you analyse where your practice lies when it comes to the submission of claims and addressing denials.
-
How Credentialing Mistakes Affect Revenue and How to Avoid them with Practolytics?
Credentialing mistakes or lack of credentialing directly means that your practice won’t be verified by the payer.
-
Denial Prevention is the New Denial Management
There are many factors that can cost your practice revenue and profits.
-
10 Ways How Practolytics Can Maximize Your Practices’ Reimbursements in 2022?
Let’s look at 10 ways of how Practolytics can help maximize your reimbursements.
-
Best Medical Practice Management Software
The specific tasks that a medical practice management software can perform efficiently include, but are not limited to:
-
7 Ways How Outsourcing RCM Improves Your Patient Retention
Educating patients by simply answering their questions may seem simple, but is key to patient retention.
-
5 Reasons Why You Need to Prefer Practolytics as Your Medical Billing Partner in 2022?
If you are finding the idea of medical billing partner difficult to accept, then an introspection of your practice may help you make the right decision.
-
Patient Statements – Best Practices on How to Collect Patient Balance?
One reason why patients find it difficult to pay bills is a lack of awareness on what they are expected to pay.
-
Telemedicine – How AdvancedMD(AMD) Helps You Retain Your Patient Population
Electronic Health Records fulfill a range of needs for medical practices. With software, you can optimize care delivery and improve your financial returns.
-
Lag Days – Why this is an Important Metric to Track for Practice Owners?
This article will explore the importance of lag days, processes in medical billing and ways to reduce lag days for better financial yields.
-
Know How AdvancedMD(AMD) Can Help You to Rapidly Build Your Telemedicine Practice?
AdvancedMD is a product with multiple functionalities, each tailored to handle specific needs. All-in-one platform for healthcare practices. Below are some of the ways it can help you build your telemedicine practice:
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10 Healthcare Podcasts You Must Need to Listen in 2022
The increased interest in everything healthcare has, resulted in the popularity of healthcare podcasts that talk about the technological advances in medicine. Mentioned below are the top 10 healthcare podcasts that everyone should listen to.
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Importance of Not Ignoring the Insurance Correspondence – Roles of Your Front Office and Billing Staff to Avoid Costly Mistakes
Your front office staff are the first point of contact between you and your patients. They are not only crucial to the opinions patients have of your practice but are also vital to its financial health.
-
How Much Does Healthcare RCM Services Cost in 2022?
The options are to hire well-trained staff or train the staff appropriately to manage RCM services, or to outsource RCM services.
-
10 Ways to Increase Your Patient Retention in 2022
Patients choose a practice to visit frequently based on several factors, and improving these factors can significantly improve your patient retention.
-
8 Ways How Practolytics Can Improve Your Medical Claims Billing Process in 2022?
Practolytics is the partner of choice when it comes to medical billing of private practices in the healthcare industry. We provide a medical billing service that takes the stress off of your plate while streamlining the process, resulting in a
-
How Does AdvancedMD(AMD) Work and Its Benefits?
Wondering why you must automate your practice’s revenue cycle? Here’s all you need to know.
-
Appointment and Charges Reconciliation – Importance of Doing this and How Often Should it Be Done
Appointment and charges reconciliation is one of the processes that significantly affect revenue. Its effect is in two folds; if done properly, the result on the practice's revenue cycle is positive; and if poorly done, the result is negative.
-
15 things a provider and practice should do to keep their patients happy when offering TeleHealth Services
Telehealth is very helpful for both patients and providers, but considering the 15 things mentioned would further maximize these services for both parties.
-
10 Tips to Grow Your Medical Practice in 2022
Despite this, 2022 has shown promise that it might be different and you will finally get a chance to grow your medical practice with the tips mentioned below.
-
Patient Balances – Best Practices a Practice Should Adopt to Avoid this Costly Mistake
The insurance industry has gone through a drastic change with more and more patients paying higher out-of-pocket expenses than before for their doctor’s visits.
-
Managing Patient Payments: Importance of Collecting Copay and Coinsurance Upfront
Revenue management in medical practices is a tricky task as you have to deal with insurance payouts and patient payments such as copay in case the patient has no insurance.
-
Why a Practice Should not Hesitate to Use a Collection Agency to Collect Patient Balances
Patient balances should be collected either at the point of service or on a set due date, not too late after the appointment.
-
Payment per patient – Are you tracking this important metric to measure the success of your practice?
Payment per patient plans are generally more efficient and patient-friendly than other plans being used.
-
Importance of Digital Marketing – How to market and attract new patients to grow your healthcare practice
Here we will be discussing some points focusing on how to market and attract new patients to grow your healthcare practice
-
Cancellations and No-Shows: How does it affect your practice?
Handling no-shows, cancellations, appointment reminders seem easy, and patient instructions may seem easy but require
-
Is your practice patient-centric? 15 things your practice must do to keep your patients happy
Taking care of patients and providing them with the best healthcare possible is most likely your main goal.
-
AR Days – What this Number Means for the Health of your Practice
As a practitioner, you want to be able to provide the best healthcare to your patients and while your intentions are good
-
Reputation Management – How to Manage Your Practice Reputation in this Digital Age
To make it easier on you, mentioned below are simple and basic steps that you can take to help your online reputation.
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Denial Management – Are you watching your denials? Take these preventive measures to maximize your reimbursements
A claim denial is when your health insurance refuses to pay the claim submitted. This will affect the financial health of your practice
-
Role Of Front Office Staff In Keeping Your Practice Reputation And Financial Health Safe
Here we will look at the characteristics and responsibilities that are executed by front office staff to keep your practice reputation and financial health safe.
-
Importance of Checking Patient’s Eligibility and Benefits with the Evolvement of Multiple Insurance Sub Plans
The consequences of not verifying eligibility often lead to increased costs for the patient and you
-
12 Things A Practice Must Do To Maximize Reimbursements
Here we list 12 points that a physician or an institute should focus on to maximize reimbursements.
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Pre-Authorization – An Emerging Threat that Practice Should Keep a Watch On
As much as there are reasons and benefits to pre-authorization, it has come under so many criticisms. The following are some of the threats pre-authorization pose on practice.
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Contract Renegotiation: When and Why Should You Renegotiate your Contract
When renegotiating the contract, you should use these tactics to improve your chances of successfully renegotiating the contract for your own benefit.
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Planning to Outsource Your Medical Billing? 15 Things You Must Ask Your Billing Vendor for Successful Transition of In-house Billing Operations
Evaluating your medical billing vendor before outsourcing their services is key to the success of your project for your practice.
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Key Things To Consider While Negotiating Medical Insurance Contracts
To negotiate a secure and beneficial contract, always put in some time and effort to study the strategies of the health plan
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Credentialing: Best Practices That You Should Adopt For Successful Enrollment Into Insurance Panels That Includes All Sub plans
Credentialing with medical insurance companies is a significant step to gain inclusion into insurance payment panels.
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Need For An Effective Denial Management Process To Keep AR Under Control and Help Practices Survive
Optimizing accounts receivable (AR) in medical practice demands rigorous attention to detail while making insurance claims.
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Coding Challenges for Inpatient Evaluation & Management Services
The purpose of coding an E&M service in an inpatient setting is to justify the level of care provided to the patient in the form of codes.
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No Surprises Act – What You Need to Know About This? How it Affects You as a Practice?
The No Surprises Act is the outcome of efforts to reform payments for health needs. This blog explains all you need to know about the Act and its impact on your practice.
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Importance of Clinical Documentation – How it’s Impact Your Practices Revenue
It is the force that propels patient-based care until the very end. More so, in a time where the quality of clinical records is tied to reimbursement, proper documentation
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How is Telemedicine (Teletherapy) Changing the Business Landscape for Behavioral Practices? Should Your Practice Consider Offering this?
Impacts of Teletherapy on the Business Landscape for Behavioral Practices. Telemedicine has expanded the delivery of health services.
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Importance Of Patient Engagement And Role of Social Media And Its Influence on Clinic’s Success
Patient engagement involves healthcare providers working with their patients to ensure health improvement. It is an effective healthcare decision to
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Effects of Patient AR Build Up On Your Practice – Best Practices to Set Your House In Order
If you’re looking to build up on your practice or set your house in order, here’s your luck. In this post, you’ll find all you need to know about account receivable, and more. Keep reading.
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Importance of Timely Collection of Patient Balances on Practice Financials
Handling the finances while also taking care of the patients can be a headache. Therefore, having an expert team trained to deal with medical billing and collection can be a rewarding investment for your practice.
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Ways to Improve Your Healthcare Business Revenue Cycle Management
Every healthcare provider is in an endless quest for finding means to improve healthcare revenue cycle management for their practice. Here are some ways
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Major Challenges in Documentation & Coding for Pain Management Services
In this blog, we discuss the major challenges encountered in documentation and coding for pain management services and the solution to each challenge.
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Auditing Process Decoded—Types of Medical Audits and Ways to Conduct Them
Healthcare facilities and external bodies conduct various types of medical audits on different occasions.
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How to Set up an Automated Billing Process in AdvancedMD?
Practolytics allows you to make the best of the AdvancedMD software cost-effectively. Here’s how.
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How Much Do Insurance Providers Reimburse for Spravato?
A smart Spravato biller can make insurance providers pay for the Spravato therapy rendered to their policyholders. Here’s how.
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Ambulatory Surgery Center Documentation & Coding Guidelines
Billing for Ambulatory surgical centers (ASCs) is tightly regulated by numerous federal as well as state-level regulations and statutes.
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Doctors Vs. Certified Medical Coder: Who should assign CPT and ICD codes to patient charts?
Answering who the proper party is in billing a patient for a visit and coding physician services for those sessions has always been controversial.
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Coding and Reimbursement Challenges in the Urgent Care Setting
Various challenges in medical coding, reimbursement rules, and regulations that private practices face while making reimbursement claims for urgent care.
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How an Experienced Spravato Billing Provider can Boost Your Revenue Cycle
When in doubt, seek expert help. An experienced Spravato biller can help your Spravato practice flourish. Here’s how.
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Top Benefits of Outsourcing the Medical Billing Process
Outsourcing the medical billing process to professionals is more effective and efficient than managing it in-house.
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Why Do You Need Spravato Billing Solutions?
The right Spravato billing solutions provider can streamline the tricky Spravato billing process for better revenue management.
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Impending ICD-11 Changes, What Your Practice Should be Prepared for?
ICD-11 has been updated not just to include new health conditions, but also to make recording of data more convenient for the digital era.
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Perils of Under-coding or Up-coding Your Services — How Does this Affect Your Practice When Audited?
Before diving into the consequences of under-coding or up-coding, it's essential to explain what they mean and how they are done within the healthcare system.
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Everything You Must Know About AdvancedMD
Adopt AdvancedMD to create a highly efficient and flawless practice management process.
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Medical Billing Audit Checklist: 10 Things to Keep in Mind
Follow this 10 Medical Billing Audit Checklist to help you have successful medical claims reviews.
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Top Mistakes in Credentialing Process that Cause Revenue Loss for Medical Practices
Credentialing in itself is quite a time-consuming and complex task, and doing it wrong can result in big financial losses
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5 Smart Tips for Improving Revenue Cycle Management
An optimized RCM is the key to successful medical practice; the lack of which often results in chaos
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10 Ways to Improve Your Billing Process
Here are 10 ways you can improve your healthcare business’s medical billing process right away
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Role of medical billing software in RCM services
Medical billing software can help you in saving time, cutting costs and minimizing errors
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In-house Medical Billing vs. Outsourced RCM
Are you still confused? Well, don’t be. Here, let’s take a look at some pros and cons of both methods
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