medical billing

Overview

Essential Components Of The Medical Billing Workflow

Introduction As we speak of better and more efficient medical billing in healthcare, managing and moving patients through every visit while assembling data for the submission of claims and collecting the outstanding balances of patients, the components of the medical billing workflow work precisely its duty. Promote Patient Engagement ● …
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Claim Adjudication Process

Introduction The adjudication process is also sometimes referred to as the claims management process, but it is important to note that they are different processes. In this article, we will explore what the difference between them is, what steps you can expect when you submit a claim through your insurance…
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WHY-IS-DAYS-IN-AR-IMPORTANT

WHY ARE DAYS IN AR IMPORTANT

Introduction Days in AR is a very important concept. It explains the impact of delayed payments on cash flow and measures the amount of time between payment being due and when it clears your bank account. The concept is primarily used to evaluate a practice’s financial health. A high days-in-AR…
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How to Use Modifier 25 Correctly

Introduction Modifier 25 is a critical part of the Medicare program, but it can be difficult to understand and use correctly. In this post, I’ll explain what Modifier 25 does, why it’s needed, and how to use it properly. If a patient comes in for a preventive visit and the…
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WWS SPECIALIZED MEDICAL BILLING PAYMENT POSTING

EOB READING AND ANALYSIS In medical billing, decoding the payment posting process includes decoding the Patients’ names, account numbers, control numbers, service dates, procedure codes, billed/allowed/adjusted amounts, denials information, deductibles, co-insurances, co-payments if any, and so on. The second you receive the EOB from the insurer, you should read it…
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The Link Between Patient Engagement & Reimbursement

Increasing patient engagement is a top priority for most modern medical practices, especially in the increasingly value-based landscape of medical billing. Even for organizations that have yet to embrace the shift to quality over quantity, patient engagement is far more valuable financially than most practices realize. Why Is Patient Engagement…
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Transitioning From an Existing EHR System

Some medical practices have more experience with EHR implementations than they’d like to admit in 2021. Many organisations have moved on from the solutions they first deployed in the early 2010s. Most EHR implementations nowadays aren’t about converting a practice to a digital solution from the ground up, but rather…
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How to Prevent a HIPAA Breach

There are a few solid steps you can take to help reduce the likelihood of a HIPAA breach violation affecting your medical practice, such as: Examine Your Vulnerabilities: Consider hiring a data security consultant to conduct an end-to-end risk assessment of your technological operations and medical billing function. If that…
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