Blogs

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

Primary Source Verification (PSV) is really a crucial stage in the healthcare credentialing procedure that businesses must truly understand.

Did you realize that eligibility and benefits verification will also put you in the same scenario, with a less presumed outcome?

Everyone will eventually need medical treatment, even though most individuals don't anticipate being sick or harmed.

The five elements influencing the insurance healthcare credentialing procedure for group practices are listed

Here we have listed the essential outline of the CMS 2023 Home Health updates.

Here are a few tips to enhance the clinic morale for urgent care facilities. Check out this blog to know more.

The main aid that we get from Health insurance verification, is that providers can get accurate information

By teaming with an experienced prior authorization outsourcing service company, you can reduce your operational workload.

Healthcare credentialing is necessary for practitioners, nurses, medical assistants, & therapists.

Reading through this blog you can get more on the process involved, and also get a thorough knowledge of the topic.

Upon signing a contract with an insurer, there are a number of factors to take into account.

The choices are endless for Urgent Care facilities and it is continuously evolving. With new requirements come newer ideas and opportunities to exhibit.

Health organizations, clinics, & healthcare systems are facing increased expenditures and declining reimbursements.

To be more precise and understandable, Evbv is the assurance that providers can get before giving services.

Let us go ahead with the most frequently asked questions on Mental & Behavioral Health Billing, along with their solutions.

By reducing clinician workload and delivering medicines to patients very swiftly, automating prior authorization services can result

Managing a practice is no walk in the park and when revenue pressure surfaces, many physicians face difficulty.

Read through this article to understand the need for this verification and the assistance they give to you.

Get to know the three major ways that could help boost your health insurance prior authorization services.

For better reimbursement rates, reduced denials, and improved contractual agreements, it is important to understand the need

The AMA- American Medical Association recently published the CPT - Current Procedural Terminology - codes list for 2023

The most prolific healthcare revenue cycle mistakes that health providers make and which negatively impact performance metrics, are listed below.

Let us look into some of these codes that were exclusively compiled for COVID-19.

The demand for Urgent Care clinics kept skyrocketing and increased dramatically over the weeks of COVID-19 emergence.

We'll explore some of the healthcare credentialing system's most prominent challenges in this blog article.

Following are a few suggestions to ensure you get the prior auth request granted.

Incorporating primary care into Urgent care is therefore a boon. Let’s see how primary care advocates growth in the Urgent Care industry.

The questions and answers that are frequently asked about billing for mental & behavioral health services are shown below.

How can you determine if outsourcing your healthcare RCM services is a good idea?

The medical record documentation must be up-to-date, and accurate. Listed below are a few must have details of a medical record.

Let us look into a list of processes in RCM that can be effectively automated with Artificial Intelligence.

Let us look into 6 best ways to enhance mental and behavioral health billing.

The PA is crucial to RCM because payers must validate whether a certain service or treatment will be compensated.

It is important for everyone to understand what mental healthcare billing is right from its basics.

In medical billing, authorization is the process through which the payer accepts to cover the recommended treatments before they are administered.

Below are the excerpts of some significant changes in the ICD-10 CM that are effective October 1, 2022.

Outsourcing your prior authorization processes will enhance your profit margins, claims processing, and then reimbursements.

Working with healthcare software solutions without medical credentials might be incredibly tough.

Here are some strategies for achieving faster prior authorization turnaround times.

The EHR is the patient's digitalized medical record. These solutions are real-time and patient-centered, providing immediate information access.

In knowing the complexities of medical billing and coding, it is unsurprising that errors can occur during the process.

RCM has a wide range of applications that can assist healthcare organizations in enhancing their financial performance and patient care.

Telemedicine supports patients in rural areas with high-quality services through some top-notch physicians on the line.

Seeking a credentialing partner, would allow healthcare organizations to prevent these negative consequences.

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.

Payers and healthcare organizations must use medical billing solutions to meet the value-based payment in healthcare.

Investing in RCM for medical billing may be a long-term plan for managing billing and claims.

Eligibility verification is the process of checking the patient’s insurance details to verify coverage and benefits under the patient’s plan.

Here are a few ways how Urgent Care facilities can improve their business growth and increase patient volume.

To ensure successful revenue cycle management, healthcare organizations must work towards strategic goals.

Here are a few tips that Urgent Care Centers can instil to ensure substantial growth of their business.

The major changes in the system included new ideas to improve patient loyalty, medications, public awareness, and brand marketing.

Let us look into major trends in Revenue Cycle Management that have booked their place in the market for the longer run.

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.

By gauging these 9 KPIs, practices or RCM experts can obtain a stay on top of the revenue cycle process.

BI is an essential component to ensure the longevity and stability of any business. Let's drill down to how Business Intelligence in RCM.

Let us look at the 8 points to take into account while choosing an Urgent Care software.

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.

Here are seven ways to incorporate into your practice in order to improve medical coding quality.

Here are the top 7 Practice Management Software one must know to optimize medical practice processes.

Let us look at a few strategies that could help mitigate the manpower shortage issues.

Here are the key pointers that could help Urgent Care Industry to improve its hiring strategy and retain its existing staff.

This article talks about the causes of manpower shortage in the revenue cycle and how outsourcing could benefit them.

The following are the changes that were inferred in the year 2021 as a result of meeting unexpected challenges for healthcare systems

Front office staff plays a major role in Urgent Care facilities. Here are the top 5 qualities that front office staff must incorporate.

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

Outsourcing and offshoring are two imperative factors that could help boost your revenue cycle process.

There are many performance indicators that should be tracked regularly in an attempt to understand how well your practice is doing.

The whole medical billing process can just be a very challenging, time-consuming, and tedious task.

There are several consequences of poor AR management, with the most obvious being reduced cash flow.

There are quite a few benefits of doing so, however, there are three that stand out.

Denial management is meant to help you analyse where your practice lies when it comes to the submission of claims and addressing denials.

Credentialing mistakes or lack of credentialing directly means that your practice won’t be verified by the payer.

There are many factors that can cost your practice revenue and profits.

Let’s look at 10 ways of how Practolytics can help maximize your reimbursements.

The specific tasks that a medical practice management software can perform efficiently include, but are not limited to:

Educating patients by simply answering their questions may seem simple, but is key to patient retention.

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.

One reason why patients find it difficult to pay bills is a lack of awareness on what they are expected to pay.

Electronic Health Records fulfill a range of needs for medical practices. With software, you can optimize care delivery and improve your financial returns.

This article will explore the importance of lag days, processes in medical billing and ways to reduce lag days for better financial yields.

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:

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.

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.

The options are to hire well-trained staff or train the staff appropriately to manage RCM services, or to outsource RCM services.

Patients choose a practice to visit frequently based on several factors, and improving these factors can significantly improve your patient retention.

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

Wondering why you must automate your practice’s revenue cycle? Here’s all you need to know.

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.

Telehealth is very helpful for both patients and providers, but considering the 15 things mentioned would further maximize these services for both parties.

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.

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.

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.

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 plans are generally more efficient and patient-friendly than other plans being used.

Here we will be discussing some points focusing on how to market and attract new patients to grow your healthcare practice

Handling no-shows, cancellations, appointment reminders seem easy, and patient instructions may seem easy but require

Taking care of patients and providing them with the best healthcare possible is most likely your main goal.

As a practitioner, you want to be able to provide the best healthcare to your patients and while your intentions are good

To make it easier on you, mentioned below are simple and basic steps that you can take to help your online reputation.

A claim denial is when your health insurance refuses to pay the claim submitted. This will affect the financial health of your practice

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.

The consequences of not verifying eligibility often lead to increased costs for the patient and you

Here we list 12 points that a physician or an institute should focus on to maximize reimbursements.

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.

When renegotiating the contract, you should use these tactics to improve your chances of successfully renegotiating the contract for your own benefit.

Evaluating your medical billing vendor before outsourcing their services is key to the success of your project for your practice.

To negotiate a secure and beneficial contract, always put in some time and effort to study the strategies of the health plan

Credentialing with medical insurance companies is a significant step to gain inclusion into insurance payment panels.

Optimizing accounts receivable (AR) in medical practice demands rigorous attention to detail while making insurance claims.

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.

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.

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

Impacts of Teletherapy on the Business Landscape for Behavioral Practices. Telemedicine has expanded the delivery of health services.

Patient engagement involves healthcare providers working with their patients to ensure health improvement. It is an effective healthcare decision to

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.

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.

Every healthcare provider is in an endless quest for finding means to improve healthcare revenue cycle management for their practice. Here are some ways

In this blog, we discuss the major challenges encountered in documentation and coding for pain management services and the solution to each challenge.

Healthcare facilities and external bodies conduct various types of medical audits on different occasions.

Practolytics allows you to make the best of the AdvancedMD software cost-effectively. Here’s how.

A smart Spravato biller can make insurance providers pay for the Spravato therapy rendered to their policyholders. Here’s how.

Billing for Ambulatory surgical centers (ASCs) is tightly regulated by numerous federal as well as state-level regulations and statutes.

Answering who the proper party is in billing a patient for a visit and coding physician services for those sessions has always been controversial.

Various challenges in medical coding, reimbursement rules, and regulations that private practices face while making reimbursement claims for urgent care.

When in doubt, seek expert help. An experienced Spravato biller can help your Spravato practice flourish. Here’s how.

Outsourcing the medical billing process to professionals is more effective and efficient than managing it in-house.

The right Spravato billing solutions provider can streamline the tricky Spravato billing process for better revenue management.

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.

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.

Adopt AdvancedMD to create a highly efficient and flawless practice management process.

Follow this 10 Medical Billing Audit Checklist to help you have successful medical claims reviews.

Credentialing in itself is quite a time-consuming and complex task, and doing it wrong can result in big financial losses

An optimized RCM is the key to successful medical practice; the lack of which often results in chaos

Here are 10 ways you can improve your healthcare business’s medical billing process right away

Medical billing software can help you in saving time, cutting costs and minimizing errors

Are you still confused? Well, don’t be. Here, let’s take a look at some pros and cons of both methods