outsourcing account receivable
Why Do Hospitals Outsource Their Accounts Receivable?

In the ever-evolving landscape of the healthcare industry, hospitals face numerous challenges in managing their finances effectively. One area that poses significant complexities is accounts receivable, which encompasses the process of managing and collecting payments from patients and insurance companies. To tackle these challenges and streamline their revenue cycle management, hospitals often opt to outsource…

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automation in healthcare
Reasons Why You Need Automation in Your Healthcare Practice

  Healthcare providers encounter several difficulties in effectively managing their practices while offering their patients high-quality care as the healthcare sector develops and gets more complex. Automation has become a crucial tool for overcoming these challenges and streamlining numerous elements of healthcare delivery in the current day. Healthcare practices can significantly improve their administrative work,…

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medical billing challanges
Medical Billing Challenges and Their Solutions

In the healthcare landscape, medical billing refers to the process of submitting and following up on claims with health insurance companies to receive payment for healthcare services rendered. Moreover, It involves translating medical procedures, diagnoses, and treatments into standardized codes for accurate billing and reimbursement. What is Medical Billing? Medical billing involves several steps, starting…

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national correct coding initiative
What are National Correct Coding Initiative (NCCI) Edits and How to Use them?

Understanding the National Correct Coding Initiative (NCCI) Edits is an essential aspect of medical billing. NCCI was created to promote national correct coding methodologies and prevent improper payments. These edits are designed to ensure that claims submitted to Medicare and Medicaid are accurate and medically necessary. In this article, we’ll discuss what NCCI edits are…

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Maternity Obstetrical Care
Maternity Obstetrical Care Medical Billing & Coding Guide

Giving birth to a baby is one of the most exciting and overwhelming moments in a woman’s life. However, for healthcare providers, ensuring that their patients receive the best care during their pregnancy and childbirth can be a complex and challenging process, especially when it comes to billing and coding for their services. In this…

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Local Coverage Determination
What is Local Coverage Determination (LCD) in Medical Billing and How Does it Work?

Do you have any idea about Local Coverage Determination (LCD) in medical billing? If not, then you’re not alone. In medical billing, Local Coverage Determination (LCD) is an important factor. LCD is a policy issued by Medicare Administrative Contractors (MACs) to determine the medical necessity and coverage of a particular medical service or item. This…

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Electronic Data Interchange
What is Electronic Data Interchange (EDI) in Healthcare and How Does It Work?

Business papers are exchanged between businesses using Electronic Data Interchange (EDI) computer communication technology. Electronic medical claims, payments, and other transactions pertaining to healthcare are transmitted through EDI in the healthcare industry. We will explain in detail what EDI is, the many kinds of EDI, and how it functions in the healthcare sector in this…

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What is Guarantor in Medical Billing and What are its Types?

Medical billing is a complex process that involves various players including healthcare providers, insurance companies, and patients. Among these players, one crucial entity that plays a critical role in the medical billing process is the guarantor. A guarantor is a person or group who has to pay for a patient’s medical bills. In this article,…

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