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How to Reduce Insurance Denials With Verification?
Healthcare professionals continue to share frustration about insurance verification gaps. One provider described: “We are having issues with getting insurance verification benefits resulting in denials and loss of revenue. Front desk staff is not doing their job properly causing headaches with billing.” This single comment reflects a wider issue across hospitals and clinics. Missed or incomplete insurance verification leads to denials, delayed payments, and dissatisfied patients. The challenge has sparked conversations about whether software can solve the problem, which EMRs
Emma Davis
How Can Clinics Overcome Eligibility Verification Challenges in Mental Health Billing?
A mental health practice manager recently shared their frustration: “Our EHR gives us ‘limited’ or ‘no information provided.’ No deductibles, no co-pays, nothing accurate. Patients expect answers, and we’re guessing.” This isn’t an isolated story — it’s the daily reality for mental health clinics across the country. From Availity’s inaccurate reports to EHRs like SimplePractice failing to deliver complete coverage data, behavioral health teams are spending hours on hold with payers, trying to confirm basic information that should take minutes.
Venkata Ramarao Sanka
Can You Get Paid for Reviewing Patient Records? What You Need to Know?
Healthcare professional forums are revealing a billing opportunity many practitioners didn’t know existed. One physician summed up the discovery perfectly: “Just learned about it today, thanks! I definitely could have used it when I was young and picking up a lot of new complicated patients.” The discussion centers on CPT code 99358 – a time-based code for prolonged evaluation and management services that can be billed for extensive record review performed after the date of service. Healthcare professionals are asking
William Brown
How Can Hospital Billing Processes Be Made More Efficient?
Hospital billing is one of the most important parts of healthcare operations. It directly impacts a hospital’s revenue, patient satisfaction, and overall financial stability. However, billing processes are often complex, involving insurance claims, coding, patient communication, and compliance with regulations. Any delays or errors in billing can result in revenue loss and dissatisfied patients. Making hospital billing more efficient is not just about faster payments it’s also about improving accuracy, reducing errors, and ensuring patients clearly understand their bills. Let’s
Noah Thomas
How Prior Authorization is Affecting the Delivery of Care?
Prior authorization (PA) is a process where healthcare providers must get approval from insurance companies before offering certain treatments, medications, or services. While the purpose of prior authorization is to control costs and ensure appropriate care, it often creates delays and barriers for both patients and healthcare providers. This article explores how prior authorization affects the delivery of care, the challenges it creates, and its impact on patients and providers. The Purpose of Prior Authorization Insurance companies introduced prior authorization
Noah Thomas
Will AI Really Replace Medical Billing and Coding in Healthcare?
A healthcare billing specialist recently posted: “Do you guys see medical billing and coding being replaced by AI, or is it unlikely? Have you used AI at your work yet?” That single question sparked a heated debate among coders, RCM experts, and healthcare administrators. Some said their hospitals already use AI for claim scrubbing and coding. Others shared horror stories of “hundreds of denials” from basic errors. One coder summed up the sentiment: “AI saves time, but we spend twice
Emma Davis
Can AI Insurance Verification Work for Out-of-Network Clinics?
Insurance verification remains one of the most time-consuming and frustrating tasks for clinics and hospitals. A medical assistant recently shared: “Has anyone had success using an AI bot for insurance verification? I work for a concierge practice that does a lot of CTA and labs. We’re out-of-network with all plans, but I’d like to see if diagnostics could at least count toward patient deductibles.” This experience opened a wider conversation among healthcare professionals about how AI is being used for
Venkata Ramarao Sanka
Why Patients Struggle With Insurance Denials?
Healthcare professionals and patients across forums are sharing a reality that rarely makes headlines: the crushing emotional weight of navigating health insurance claims. One person captured the breaking point perfectly: “I fear I’ve reached my breaking point and started bawling today. I got PPO insurance at my new job, expecting I’d pay $20 dollar per visits. Instead, I’ve had 2 visits and my bill is $2K.” The discussion reveals something deeper than billing confusion—it exposes a system that’s causing genuine
William Brown
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Recent Posts
- Revenue Cycle Management: The Complete Guide to Maximizing Your Practice’s Financial Health
- Prior Authorization Is Costing Your Practice 16+ Hours Per Week: Here’s How to Fix It
- How AI Voice Bots Are Fixing the Healthcare Front Desk?
- How To Cut Claim Denials In Half Without Adding More Staff?
- How AI Chatbot Services Are Redefining Patient Communication for Clinics?
Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
Medical Scribing (AI)
Telemedicine Services
Medical Data Entry
Medical Coding
Revenue Cycle Management
