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How Is Outpatient Coding Different from Inpatient Coding?
But if you’re working in healthcare—especially on the admin, billing, or provider side—it’s something that can either make or break how smoothly your revenue cycle runs. So, if you’ve ever wondered, What’s the big deal between inpatient and outpatient coding? I’ve got you. We’re not just talking definitions here—we’re getting into how it helps, why it matters, and what the real-life benefits are for you and your team. Key Takeaways Inpatient coding is used for hospital stays over 24 hours
Emma Davis
How Does Outsourced Prior Authorization Work and What Are the Benefits for Healthcare Providers?
In the healthcare industry, prior authorization is a critical step in ensuring that patients receive the necessary treatments and procedures while managing healthcare costs. However, the process can be time-consuming and complex, leading many medical practices to outsource prior authorization to specialized service providers. Outsourcing this task allows healthcare providers to focus more on patient care while ensuring that prior authorizations are handled efficiently and accurately. This blog will delve into how outsourced prior authorization works, its benefits, and the
Sophia Wilson
How Can BPO in Healthcare Improve Patient Outcomes and Lower Costs with Staffingly?
The healthcare sector is undergoing a major transformation driven by increased patient expectations, evolving regulations, and the demand for operational efficiency. According to the World Health Organization, global healthcare expenditure will exceed $10 trillion by 2024, and Grand View Research estimates the healthcare BPO market will reach $449.6 billion by 2027, growing at a CAGR of 9.6%. In this environment of rapid change, Business Process Outsourcing (BPO) has become a strategic lever for healthcare organizations to reduce costs, improve patient
Sophia Wilson
Why do pharmacy PA rules differ so much from medical or radiology authorizations?
In healthcare administration, prior authorizations (PAs) serve as a gatekeeping mechanism to ensure clinical appropriateness and cost control. But a quick comparison reveals a key discrepancy: pharmacy PAs operate vastly differently from medical or radiology authorizations. These differences cause frustration for providers, delays for patients, and administrative strain on healthcare systems. The root causes lie in how services are billed, the systems used, and the structure of payer benefit plans. Understanding these differences and addressing the administrative burden they create
Sophia Wilson
What documentation systems do scribes use in electronic health records (EHR)?
Ever wonder what tools medical scribes actually use while they’re shadowing a provider and documenting in real time? It’s not just a notepad and a good memory. Most medical scribes work directly inside Electronic Health Record (EHR) systems—and they need to know exactly where, how, and what to chart. If you’re a provider or practice manager considering a scribe (or outsourcing one), it helps to understand what systems they use and how they make documentation more efficient and compliant. What
Venkata Ramarao Sanka
What are the most common coding errors and how can they be avoided?
Medical coding is a critical part of healthcare administration, ensuring accurate billing and fast reimbursement for services rendered. However, even the most experienced coders can make mistakes, and these mistakes can lead to claim denials, delayed payments, and even compliance issues. But don’t worry—understanding the most common coding errors and learning how to avoid them can save your practice a lot of time, stress, and money. Incorrect or Missing Diagnosis Codes (ICD-10) The Issue: One of the most frequent mistakes
Emma Davis
Why Healthcare Providers Are Turning to IT Outsourcing And How to Do It Right?
The modern healthcare industry is rapidly shifting toward technology-driven operations, data-based decisions, and patient-centered services. Healthcare providers now heavily rely on digital solutions to streamline clinical workflows and enhance service delivery. Growing patient expectations and rising competition compel medical organizations to adopt new technologies quickly. As a result, healthcare IT outsourcing is gaining popularity as a reliable way to navigate digital transformation while allowing internal staff to focus on patient care. This guide explores the key benefits and drawbacks of
Sophia Wilson
How to Simplify Insurance Prior Authorization with Staffingly?
In today’s complex healthcare environment, navigating insurance requirements is a critical part of delivering timely and cost-effective patient care. Among these requirements, insurance prior authorization stands out as both a necessary and often challenging process. Designed to ensure that medical treatments, procedures, and prescriptions are medically appropriate and covered under a patient’s insurance plan, prior authorization plays a key role in managing healthcare costs and promoting evidence-based care. However, the process can be time-consuming and administratively burdensome for healthcare providers.
Sophia Wilson
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