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Why Are Clinics Still Manually Handling Insurance Verification?
Healthcare professionals across the East Coast are asking a blunt question: “Why are we still doing insurance verify, pre-auths like it’s 1999??” One clinic administrator who called over 500 PT clinics discovered that around 50% still have staff manually calling insurances for verifications and pre-authorizations, spending 10 to 30 minutes per call. The discussion reveals a deeper tension between automation promises and operational reality. While 37 clinics agreed to pilot AI voice assistants for insurance verification, the majority shut down
William Brown
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 Medical Coders Contribute to Healthcare Revenue Cycle Management (RCM)?
Healthcare organizations operate in a complex ecosystem where accurate documentation, billing, and compliance are critical for financial sustainability. Revenue Cycle Management (RCM) plays a pivotal role in ensuring that providers receive timely and accurate reimbursement for services rendered. At the core of this process are medical coders, whose expertise directly influences the efficiency and effectiveness of RCM. Understanding Revenue Cycle Management (RCM) Revenue Cycle Management is the process by which healthcare providers track patient care from initial appointment scheduling through
Noah Thomas
Insurance verification in healthcare: Why accuracy and speed matter
Insurance verification in healthcare is a structured process designed to confirm a patient’s insurance coverage and details before medical services are provided. This verification is crucial in ensuring accurate billing, reducing claim denials, and improving revenue flow for healthcare providers. Here is an overview of the typical insurance verification process: Steps in the Insurance Verification Process Gather Patient Information: Before or at the time of the appointment, collect comprehensive patient details including full name, date of birth, contact info, social security
William Brown
How Can Doctors and Hospitals Use Medical Coding to Improve Patient Data Management?
Medical coding is a vital component of the healthcare industry, playing a central role in the organization and management of patient data. As healthcare systems become more complex, the role of accurate and effective coding has never been more important. In this article, we will explore how doctors and hospitals can leverage medical coding to improve patient data management, streamline administrative processes, and enhance overall patient care. What is Medical Coding? Medical coding is the process of converting healthcare diagnoses,
Noah Thomas
Why Accounts Receivable Is Important For Healthcare Providers?
In the healthcare industry, Accounts Receivable (AR) management plays a critical role in sustaining financial stability for providers. AR is more than just tracking pending payments it ensures that every service rendered is appropriately reimbursed, claim denials are minimized, and revenue cycles remain healthy. Without a strong AR process, providers risk delayed cash flow, mounting bad debts, and financial uncertainty. Below, we dive into the key reasons why AR management is so important for providers: 1. To Enhance the Denials
Noah Thomas
How Smart Software Is Changing Insurance Verification for the Better?
Let’s talk about one of the sneakiest time-wasters in any clinic: insurance eligibility verification. You know the drill. A patient walks in, you assume their insurance is good to go, and then boom—the claim gets denied days later because something didn’t line up. Maybe the coverage had lapsed, maybe the plan didn’t include the service, or maybe… no one had time to check in the first place. Honestly? It’s not your fault. Manual insurance verification is a slow, messy process—but
William Brown
How Proactive Insurance Verification Transforms Your Workflow?
When we talk about improving patient intake, everyone jumps to “wait times” or “online scheduling.” But there’s one quiet process that can make or break the whole experience: insurance verification. It’s not flashy. It’s not something patients ever thank you for. But get it wrong, and everything else unravels: delays, denials, patient frustration, and serious billing headaches. “You can give a patient world-class care—but if the insurance isn’t right, they remember that instead.”Insurance verification isn’t just paperwork. It’s the foundation
William Brown
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Recent Posts
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Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
Medical Scribing (AI)
Telemedicine Services
Medical Data Entry
Medical Coding
Revenue Cycle Management
