Healthcare Outsourcing Archives - Page 8 of 281 - Healthcare Outsourcing Services (BPO)

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get-paid-reviewing-patient-records

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

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William Brown
efficient-hospital-billing

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

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Noah Thomas
How Prior Authorization is Affecting the Delivery of Care

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

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Noah Thomas
AI in medical billing and coding with human oversight

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

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Emma Davis
AI insurance verification in healthcare clinics

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

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Venkata Ramarao Sanka
Why Patients Struggle With Insurance Denials

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

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William Brown
ai-revenue-cycle-management-ecw-rcm

AI in Revenue Cycle Management: How Far Does ECW Really Go?

The pricing structure is confusing and potentially much higher than advertised. Healthcare professionals report needing to add Practice Management services at 2.9% of collections before accessing the AI bundle, then paying an additional $99/month per provider on top of percentage fees. The Pricing Confusion Healthcare Professionals Face Healthcare professional forums are buzzing with tough questions about ECW’s AI revenue cycle management offering. One practitioner captured the widespread confusion perfectly: “I’m hoping for some clarification on the $99/month RCM AI pricing

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William Brown
ai-healthcare-revenue-recovery

How AI is Helping Healthcare Clinics Recapture $12K Monthly in Lost Revenue?

Healthcare clinics face a growing challenge: lost revenue. Missed appointments, billing errors, inefficient administrative processes, and poor patient engagement collectively drain substantial income. On average, each missed appointment can represent hundreds of dollars in lost revenue, and uncollected small claims can add up to thousands per month. Artificial Intelligence (AI) is emerging as a powerful solution to these challenges. By streamlining operations, automating tasks, and analyzing data to identify revenue recovery opportunities, AI enables healthcare providers to reclaim significant portions

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Noah Thomas

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