Every medical claim tells a story, about the care delivered, and also about where it was delivered. In medical billing, this is captured by Place of Service (POS) codes. These two-digit numbers may look simple, but they directly impact how claims are processed, what reimbursement rates apply, and whether a payer will approve or deny […]
Medicare crossover claims are a streamlined process that helps providers receive timely, accurate payments when patients have both Medicare and secondary insurance coverage. After Medicare adjudicates its portion, the claim details are automatically forwarded to the secondary payer, reducing duplicate submissions and minimizing patient billing errors. Still, many billing teams encounter confusion when crossover claims […]
Struggling to Keep Up with Medical Billing? Try us free for 30 days → Start Free Trial Outsourcing medical billing has become a critical decision for small practices seeking to optimize revenue cycle management while minimizing operational burdens. With the healthcare RCM industry being dynamic and new changes a, partnering with the right medical billing […]
When small medical practices think about billing, they usually focus on things like claims, reimbursements, coding, and payments. But there’s one part that doesn’t always get enough attention, credentialing. When this step is not done right or is not linked well with billing, it can cause delays, denied claims, and money problems. When it comes […]
Hospital medical billing is a critical function that ensures healthcare providers are properly reimbursed for the services they provide. Yet, in a multi-payer system, where hospitals must deal with a wide array of insurance providers, from Medicare and Medicaid to private health insurers, the billing process can quickly become complex. Managing multiple payers means navigating […]
Medical billing services often feel like a maze. From complicated statements to delayed insurance payments, the billing process is frustrating for everyone involved: patients, providers, and payers. But what if paying a medical bill, or even processing one, could be done with just a single click? This idea is no longer a distant dream. With […]
Write-offs in medical billing are often seen as an inevitable loss, but they have deeper financial implications than many healthcare providers realize. While some claims may seem too difficult or time-consuming to pursue, writing them off too soon leads to significant revenue leakage, compliance risks, and operational inefficiencies. According to the Medical Group Management Association […]
Medical billing is a crucial part of healthcare revenue cycle management, yet it remains one of the most complex and time-consuming processes for healthcare providers. With increasing regulations, frequent coding changes, and payer-specific rules, managing medical billing in-house can be overwhelming. For such reasons, a significant number of healthcare organizations outsource to Medical Billing Outsourcing […]
As a small medical practice, you’re likely all too familiar with the challenges of revenue loss in billing services. The complexities of medical billing can quickly overwhelm your staff, leading to costly errors and missed opportunities for reimbursement. In today’s competitive healthcare landscape, maximizing your revenue stream is crucial for the sustainability and growth of […]
In this article, we'll walk through five proven techniques to get you the reimbursements you've rightfully earned