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360 Degrees of Revenue Cycle Management (RCM) Process
Author: Mugdha Tendulkar Healthcare systems specifically hospitals are known for saving the lives of millions of patients globally and often face the risk of facing monetary adversity. If you’re the hospital owner, won’t you worry about managing the expenditure which is exceeding your income? Forget about profits, you won’t even be able to fulfill the basic needs of a healthcare system. In order to solve this critical issue, proper financial planning is crucial and prevents a healthcare system from going
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Medical Billing Process
Author: Akansha Kumari “Do not code it or bill for if it’s not documented in the medical record” key takeaway from professional billers. In Healthcare Revenue Cycle Medical Biller and Medical Coders is the backbone in which coders pilled billing information and billers use those codes to create insurance claims and bills for patients. We will look at how medical billing procedure connects to the existence of Medical platforms. Adoption of Varieties of Billing Systems, Methods of Hospital Reimbursement and
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Prior Authorization
Author: Zaibunnisa Begum Prior Authorization is a process of cost control in a health plan, where the physicians or any other health care providers are required to obtain approval in advance from the registered insurance company before delivering any specific service to the patient for medical payment coverage. Prior Authorization is also sometimes called as Pre-Certification and Pre- Approval. The main concept of the prior authorization process is to make sure that an individual receives access to all medical
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Outsourcing Prior Authorization Process: An Approach to Optimizing Your Revenue Cycle and Improving Patient Care
Author: Dr. Aamer Nawaz Syed, Pharm. D Prior Authorization Specialist at Staffingly, Inc. What is Prior Authorization? It is a health insurance company utilization management approach that requires certain operations, tests, and drugs ordered by healthcare practitioners to be assessed for medical necessity and cost-of-care implications before they are permitted. A health insurance payer’s choice to approve or reject a prescribed course of treatment based on the results of a prior authorization review will influence whether a provider or pharmacy
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Outsourcing of Healthcare staffing process to India.
Overview Healthcare outsourcing has proven to be a win-win situation for businesses and their employees. Not only does it assist businesses in outsourcing repetitive tasks to an offshore team, but it also assists employees in finding jobs that are ideal for their abilities and skills. Due to its prominence in the outsourcing sector, India is probably the first nation that comes to mind when people think of outsourcing for Customer Service, Medical Billing/Coding, Data Entry, etc. India continues to stand
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Recent Posts
- How Outsourcing Medical Receptionist Services Can Transform Your Practice?
- How to Identify Covered Medications in Lewiston, Maine When Prior Authorization is Denied
- Revenue Cycle Metrics Every Healthcare Provider Should Track
- What Are the Key Factors for Accurate and Efficient Medical Coding?
- Why Revenue Cycle Management is Crucial for Hospitals?
Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
Medical Scribing (AI)
Telemedicine Services
Medical Data Entry
Medical Coding
Revenue Cycle Management
