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...
Verifying patient insurance coverage and benefits before services are rendered is a proactive measure that contributes to accurate billing, reduces financial risks for both the physician and the patient, and improves the overall efficiency of the medical billing...
Maintaining and navigating health insurance is crucial for patients to pay for their hospital visits, surgery, and other serious issues. Likewise, to improve collections and make the best decisions for their patients, physicians too need to understand different types...
Revenue cycle management (RCM) is the administration of financial transactions that result from the medical encounters between a patient and a provider, facility, and/or supplier, according to the Healthcare Business Management Association (HBMA). RCM involves several...
Medical billing companies continuously work to help physicians reduce claim denials and improve the patient experience with proven strategies such as insurance verification and preauthorization services. Health plans use prior authorization to determine if a...