Efficiency in the healthcare revenue cycle is influenced by three key components: the front-end, mid-cycle, and back-end processes. Of these, the front-end, which covers activities that occur prior to a clinical encounter, plays a critical role in driving revenue...
Insurance verification is a key process for healthcare practices, which has a significant impact on revenue as well as patient satisfaction. It has to be accurately completed even before the patient visits the provider, to confirm the patient’s eligibility and...
Efficient insurance eligibility verification is a key component of the revenue cycle management process, ensuring that healthcare providers accurately confirm patients’ insurance coverage, eligibility, and benefits before delivering medical services. Advanced...
HIPAA, short for the Health Insurance Portability and Accountability Act, comprises complex guidelines designed to safeguard the confidentiality of patients’ sensitive health information. HIPAA compliance plays a crucial role in health insurance eligibility...
Insurance verification involves obtaining accurate and up-to-date information from policyholders, healthcare providers, and other relevant sources to determine the eligibility and coverage for medical services. Compliance and Quality Assurance (QA) play vital roles in...