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Strategies for Revenue Recovery in Healthcare

Effective revenue recovery strategies are essential for ensuring that healthcare providers can maintain financial stability while delivering quality care. Healthcare revenue recovery encompasses various processes and methodologies aimed

What Is Patient Financial Responsibility in Medical Billing?

Understanding patient financial responsibility is crucial for both providers and patients. This term refers to the amount that a patient is obligated to pay for healthcare services

6 Tips to Improve Medical Coding Compliance

Did you know that up to 10% of healthcare claims are denied due to coding errors, according to a 2023 report by the American Medical

Automation in Denial Management and Claims Processing

Automation in denial management and claims processing has become a game-changer. Organizations are increasingly recognizing the need for efficient systems that can streamline operations, reduce errors,

Unleashing the Power of Interoperability in RCM

Imagine a healthcare system where data flows seamlessly across departments, reducing administrative burdens and improving patient care.  Research shows that healthcare providers spend up to

Telehealth: Its Impact on Medical Billing and Coding

Telehealth has revolutionized healthcare delivery, offering unparalleled convenience and accessibility. As virtual care becomes a cornerstone of modern healthcare, it introduces new medical billing and

Medical Billing Guide for Out-Of-Network Services

Out-of-network billing can be a complex and often confusing process for both providers and patients. When healthcare providers are not contracted with a patient’s insurance

What are Value-Based Payment Models in Claims Processing?

Value-based payment models are transforming the landscape of healthcare reimbursement by shifting the focus from volume to value. These models prioritize patient outcomes and quality

Medical Necessity Denials and How to Deal with Them

Medical necessity denials are a prevalent issue in healthcare, impacting providers and patients alike. These denials occur when insurers determine that a service or treatment

The Best Healthcare Claims Processing Companies For 2025

Selecting an appropriate healthcare claims processing partner can greatly affect a provider’s revenue cycle management, administrative processes, and patient satisfaction levels.  To assist healthcare institutions