Medical Billing

Medical billing services, especially those tailored for small practices, play a crucial role in ensuring that these healthcare providers can focus on patient care rather than the intricacies of medical coding, claim submission, and accounts receivable management. With the right partner, small practices can achieve faster payments, improve reimbursement rates, and enjoy significant cost savings, …

Top Medical Billing Services for Small Practices in the USA Read More »

Navigating the complexities of medical billing and coding requires expertise that ensures healthcare practices are reimbursed for the services they provide. This critical element of the healthcare revenue cycle management involves dealing with insurance companies, understanding intricate medical terminology, and managing electronic health records. A proficient medical billing company not only streamlines these processes but …

Top-Rated Medical Billing Company Services in the USA Read More »

Denial management emerges as a crucial component to ensure the financial health of healthcare practices, especially those dealing with Durable Medical Equipment (DME) billing. Denial management’s importance cannot be overstated, as it directly impacts revenue cycle management, reimbursement rates, and the overall efficiency of medical billing processes. With the rise of electronic claims and the …

Proven Denial Management Methods for DME Billing Success Read More »

Revenue cycle analytics stands as a transformative tool, employing predictive data analytics to forecast trends, identify potential bottlenecks in the revenue cycle, and suggest actionable strategies for improvement. By harnessing the power of predictive analytics, healthcare providers are now better equipped to navigate the complexities of claims processing, denial management, and overall financial health, making …

Predictive Analytics in Revenue Cycle Management Explained Read More »

This article delves into the best practices for managing denied family practice claims in the context of legacy accounts receivable (AR) systems. It explores setting up a strategic denial management framework, which includes conducting a thorough root cause analysis to prevent future denials, and highlights the pivotal role of revenue cycle management in sustaining a …

How to Handle Denied Family Practice Claims in Legacy AR Systems Read More »

With the increasing complexity of healthcare policies and the demands for cost containment from insurance payers, the importance of efficiently navigating the prior authorization landscape has never been more critical. Addressing these issues not only helps in reducing healthcare costs but also plays a pivotal role in enhancing patient access to timely and appropriate care. The forthcoming …

Solving Prior Authorization Issues: Best Practices for Healthcare Providers Read More »

At the heart of this system lies the distinction between professional medical billing and hospital billing—two core components that might seem similar on the surface but encompass distinct processes involving healthcare providers, healthcare insurance, and healthcare professionals. This differentiation not only affects the bottom line of medical services rendered by both physicians and skilled nursing facilities but …

Is Physician (Professional) Medical Billing Different from Hospital Billing? Read More »

This article aims to guide through the A-Z of DME HCPCS codes, offering a complete list and guide that spans from ambulation devices to oxygen equipment and monitoring supplies. We’ll explore categories such as bath and bathroom equipment, bed and bedroom equipment, chairs, wheelchairs, and accessories, in addition to addressing the specifics of oxygen and …

A-Z of DME HCPCS Codes: Your Complete List and Guide Read More »

Medical billing is a critical facet of the healthcare sector, involving the submission of claims to health insurance companies to ensure healthcare facilities are compensated for the services they provide. This process is foundational to revenue cycle management, with electronic medical records revolutionizing the integration of patient information and billing data, thereby speeding up billing processes and …

Why Wenour is Your Best Choice to Outsource Medical Billing Services: Top 8 Advantages Read More »

In the healthcare sector, choosing the right approach to manage medical billing and coding operations is crucial for the financial health and operational efficiency of an organization. In-house medical billing involves utilizing internal staff and resources to handle these operations within a healthcare organization. On the other hand, outsourced medical billing services provide an alternative, allowing an …

Choosing Between In-House vs. Outsourcing Medical Billing Services: What You Need to Know Read More »