17May
Role of RPA in Healthcare Revenue Cycle Management
Revolutionize your revenue cycle management with Robotic Process Automation (RPA) - Streamline repetitive tasks, and speed up revenue cycles through smart bots.
08July
Tips to Hospitals and Patients to Prevent Fraud and Abuse
Medicare fraud means claiming of the health care reimbursement where in the claimant may not even be entitled.
07July
Impact of the Healthcare Revenue Cycle and How to Manage its Impact
The factors like advancement in technology and evolving government regulations are driving the healthcare organizations to seek assistance in Revenue Cycle Management.
25June
Decrease Practice Denial Rate
The factors that affect the revenue cycle is when the claims are denied. In the entire process, it is important to identify.
24June
Coding and Billing Fraud Problems
The government bodies that were bringing claims against CareWell suspected that the company has unnecessarily urged the patients.
31May
Denial Management Tips
Therefore, it becomes necessary to identify the income lost and improve the process of medical claim management service.
30May
Coding Flank Pain
One of the very common complaints that are seen in general practices and specialties is Flank Pain.
29May
Benefits of hiring Medical Billing and Coding Companies
the healthcare professionals began seeking the help from coding and billing companies to make the process smoother.
08May
Primary Care and Codes Specialists Must Know
A new rule relating to the Evaluation and Management (E/M) was proposed in 2019 by Medicare Physician....
07May
The Impact of CPT Coding and its Changes in 2019
Coding and Billing are two critical factors in the world Neurology providers. This can be complex especially when the codes keep changing often which also calls for an....
15Nov
Role of Analytics in Revenue Cycle Management
Remember the last time when you took an alternate route shown by Google Maps on a busy route? or when you received close and relevant recommendations on your shopping list...
12Sep
Artificial intelligence and its applicability on Revenue Cycle Management
Remember the last time when you took an alternate route shown by Google Maps on a busy route? or when you received close and relevant recommendations on your shopping list...
24May
Role of Analytics in Revenue Cycle Optimization
We spoke a lot about a wide variety of issues that an RCM team might typically face in our previous article. These issues can be broadly classified into Operational Issues, Financial....
11May
Be Proactive when dealing with these Most Common Issues in Revenue Cycle Management
We spoke a lot about a wide variety of issues that an RCM team might typically face in our previous article. These issues can be broadly classified into Operational Issues, Financial....
10Apr
Are you overwhelmed and going head over heels in managing your RCM?
If you are one of those who are trying to perfect things in your Healthcare Revenue Cycle Management and are having to manage multiple process and not seeing the deserved....
30Mar
Five ways to reduce healthcare administrative costs
According to a recent study, the administrative costs in healthcare industry make up approximately 25% of all healthcare expenses. Denied claims and not properly filing...
13Feb
Eliminating Inadequacies in Revenue Cycle Management
Inadequacies often get un-noticed even when you try to create fool proof policies & procedures in your Revenue Cycle Management. Like we discussed in one of our previous ....
27Sep
ICD - The Eleventh Revision
Though with a delay, the US healthcare Industry successfully moved from ICD-9 to ICD-10 for Medical Coding. Just when the industry has settle down with the change and sailing ....
19Sep
The Revenue Cycle - Chain of Events
Isn't 120 days too long to get paid for what you billed? If you have a sizable number of claims that are not getting paid or are getting paid after 120 days from the billed date...
20July
Recruit a Medical Biller with these 3 Qualities
Medical billing is the most meticulous job in the world of healthcare. It plays a pivot role in the success of your business by maintaining steady flow of cash if done perfectly.
29June
CMS proposes to add more codes for Cardiologists and Cardiovascular surgeons
The codes that were released last year were incomplete and now CMS has decided to introduce new codes to make coding more specific and accurate.
07June
Can EHRs be the source of patient feedback?
We understand how important customer feedback is in every business. It helps us in formulating strategies to serve them better that ultimately put us in the profits zone...
17March
5 Common Medical Billing Miscalculations to Watch Out For
Medical payments sometimes create havoc and become burdensome to citizens due to Medical billing miscalculations...
03Feb
Selecting the right PMS
PMS allows Physician practices to perform routine administrative functions electronically and help save significant time and expenses. To attain this upper hand in efficiency...
02Feb
A tale of Quality Achievement
People perceive and interpret quality in different ways. There are ‘beautiful’ definitions by many Management and Quality Gurus, BUT, to keep it simple we say...
20Nov
Promantra’s Strategies for Healthcare Accounts Receivables
Every hospital, physician practice and billing company even today continues to struggle with the increasing time period of ‘long receivable bills’. There may be numerous reasons for the delay...
04Nov
Denial Management Tips by Promantra
Insurance reimbursements in Healthcare are the important sources of revenue for any medical practice and is the "live wire for keeping the physician or hospitals in the profit zone",...
26Oct
Importance of Analytics in a successful RCM Program
A program is successful if you are able to answer micro level questions with values at each and every step. Many analysts across the globe has proved numerous times that how...
15Sep
Role of Software Vendors in Successful ICD-10 Coding
As of Oct. 1, 2015, any healthcare entity in the US mandated to comply with HIPAA regulations, will start using the new ICD-10 coding system replacing the ICD-9 coding system...
14Sep
CMS predicts that claim denial rates could skyrocket by 100% to 200% in the early stages of ICD-10 coding
Some of the prominent senior industry analysts also expecting that more claim denials are looming on the horizon. But, here in Promantra we were able to defeat the ICD-10 deadline and reached the Paramount...
8Sep
IS YOUR MEDICAL CODING VENDOR READY WITH ICD-10???
1st October 2015, a day that will be remembered in the history of American Healthcare and a day every physician and facility in the US are eagerly waiting for...
17July
Proposed Revisions by CMS for Long Term Care Regulations
On July 13, 2015, CMS announced a proposal to improve the safety affecting the residents of long term care and the quality of care. This includes regulations for reducing the unnecessary hospital readmissions and infections...
12Aug
EMERGING CHALLENGES IN MEDICAL CODING
It’s time to take a look at the insights and trends in the Medical Coding space. The reason why this becomes so important is the rules keep changing very frequently. First there was ICD-10 transition which was about to create a ...
12Aug
Don't try this at home...
Doctors today face a lot of challenges managing their practices. Undoubtedly they have acquired skills that are required to effectively run their operations apart from their core responsibility of providing patient services. At the cost...
09July
Medical Billing Mistakes
In today’s world of complex and struggling economy, issues related to the medical billing industry has taken precedence in identifying the stability of a medical practice. One of the biggest challenges that physicians are facing today is not ...
10June
Ensuring your practice gets paid
How do you deal with the issue of your patients having to pay out of pocket in order to meet their deductibles? In case you don't have a standard in place to deal with this, your practice will suffer a major impact at the beginning of each year.
05January
Challenges in Long Term Care Industry
The four most critical challenges faced by the Long Term Care industry today. Shortage of Nursing Staff : One of the major challenges in the nursing homes today is shortage of adequate nursing staff.
24February
Denial Management - Best Practices ………Your thoughts????
A good denial management process is not simply about working on denials, it is about systematically gathering the data required to eliminate denials.
14March
The 7 most overlooked ICD-10 issues
Much of the conversation in the recent past on the transition from ICD-9 to ICD-10 has focused on the many new diagnostic codes. However, read below for seven commonly overlooked issues.