Rx for Success with Billed Right: Tips and Strategies for Medical Professionals

Correctly Handling Medical Balance Write-offs

Correctly Handling Medical Balance Write-offs

Reading Time: 3 minutes You and your staff work hard taking care of patients and deserve to be compensated for your efforts. With third-party payers, uninsured patients, or ones with high deductible insurance, there are unfortunately times when you have to write off some,…

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Need for Prior Authorizations Continues to Increase

MGMA Poll Shows Need for Prior Authorizations Continues to Increase

Reading Time: 3 minutes A recent poll by MGMA showed that 79% of those polled indicated that prior authorizations (PA) requirements had increased when asked “How did payer prior authorization requirements change in the past 12 months?”. Only 19% said they stayed the same…

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Outsourcing Medical Billing Will Increase

Research Shows the Outsourcing Medical Billing Market Will Increase

Reading Time: 3 minutes According to the Global Medical Billing Outsourcing Market Size study, the global medical billing outsourcing market was worth US$10.2 billion in 2020 and is projected to register a compound annual growth rate (CAGR) of 12.6% during 2021-2027. Some of the…

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Telehealth Medical Claim Denials

 Six Tips to Avoid Telehealth Claim Denials

Reading Time: 3 minutes The pandemic brought with it a shift in how medical care is carried out. Due to the fear associated with catching COVID 19, the rules surrounding telehealth were relaxed. As a result, it brought telehealth to the forefront, and providers…

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Remote Patient Monitoring

What is Remote Patient Monitoring?

Reading Time: 4 minutes Remote Patient Monitoring (RPM) is a subset of telehealth that involves reporting and collection of a patient’s health data and thus the evaluation of a patient’s health. This is done by utilizing mobile devices, smartphone apps, and internet-enabled devices outside…

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Medicare Physician Fee Schedule Final Rule CY 2022

CMS Medicare Physician Fee Schedule Final Rule CY

Reading Time: 3 minutes The CY 2022 Medicare Physician Fee Schedule Final Rule was released on November 2, 2021, and with it came some important changes including updates to payment rates for 2022, expanding the use of telehealth for mental health, and allowing PAs…

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Telehealth vs Telemedicine

What is Telehealth vs Telemedicine?

Reading Time: 3 minutes We all have witnessed how the COVID 19 Pandemic has brought on new, little-known terminology to the healthcare forefront. Terms like telehealth and telemedicine have now become more mainstream in the healthcare community and not many are aware of the…

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Medical Account Receivables

Are Your Accounts Receivables Going in the Wrong Direction?

Reading Time: 3 minutes A recent MGMA poll, asking “How have your days in A/R changed in 2021?”, found that 49% of respondents said their time in A/R has increased in 2021. Thirty-seven percent (37%) said they stayed the same, but is that good?…

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Price Transparency in Healthcare

Price Transparency in Healthcare – What Does it Mean?

Reading Time: 3 minutes Until now, costs for healthcare were anything but transparent. A majority of people receive medical services without a clear understanding of what the charges will be, how much their insurance company will cover, and that prices can be vastly different…

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Predatory EFT Fees

EFT Fees – MGMA Pushes Back Against Predatory Business Practices

Reading Time: 3 minutes Medical Group Management Association (MGMA) released findings from their Stat poll, conducted on August 10, 2021, regarding medical practices being forced to pay fees to receive EFT payments from payers. According to their research, 57% of respondents, when asked “Are…

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