June 10, 2021

How to use Enhanced Ambulatory Patient Grouping (EAPG) Systems to classify and calculate reimbursements for outpatient services?

Are you looking to classify EAPG systems?  Do you want to learn how to calculate reimbursements for outpatient services?  If you said yes to both these […]
June 1, 2021

Price Transparency: How are Hospitals Adjusting?

Before the final decision came out about hospital price transparency, many hospitals were hoping that the ruling would be in their favor. They had not started […]
May 14, 2021

Payment Cycle Management: All you need to know

Payment Cycle Management is also known as Revenue Cycle Management (RCM). It is a process specially designed to manage the healthcare facility system. It is important […]
May 6, 2021
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13 Steps of Revenue Cycle Management

To be able to better understand how revenue cycle management (RCM) works, you must understand the steps involved in the process. Here are 13 steps of […]
April 13, 2021
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Is the contractual adjustment billed to the patient? All you need to know

What is a contractual adjustment? To be able to better understand what contractual adjustment is and how it is billed to the patient, you must know […]
March 30, 2021
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Revenue Generating Ideas for Hospitals

In today’s competitive nature of the world, it is vital that your medical practice has each and every tool at its disposal to keep it profitable. […]
March 22, 2021
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Basics of RCM in Medical Billing

When talking about RCM (revenue cycle management), it can be defined as a financial process where medical billing software is used by healthcare facilities in order […]
March 11, 2021
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What is financial clearance in healthcare?

Whenever someone talks about healthcare, the first thing that pops up in most people’s minds is can you afford it?  Do you have insurance to cover […]
March 3, 2021
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What is revenue integrity in healthcare?

According to a recent survey conducted by the national healthcare industry, around 60% of the hospitals and their executives were of the opinion that revenue integrity […]
February 24, 2021
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What is the Life Cycle of a Claim?

There is often a misconception about claims; that is, it starts and ends with reimbursement.  Even though reimbursement is one of the critical components in a […]
February 17, 2021
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What Prior Authorization is and How to Speed it up?

Prior authorization is a requirement that a physician needs to get approval from a health care provider before prescribing any medication or performing any operation. If […]
February 11, 2021
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Are all hospitals complying with the new Price Transparency Rule?

It seems some healthcare organizations have been paralized and struggling to comply with the price transparency rule which took effect on January 1, 2021. Studies show […]