Industry Insights for Medical Professionals

Do you want to know whether the growing need for medical compliance in the healthcare industry is REAL? Well, yes. It’s happening and is real.

In this article, we will give you an insight into successful medical credentialing. Learn the basics of what medical credentialing is and why it’s important for both patients and healthcare practitioners.

Does maintaining regulatory compliance bother you? Don’t worry. We will offer the solutions to the most common medical compliance issues.

As a member of the healthcare industry, it’s vital to be aware of medical terminology and coding. These codes translate a patient’s treatment and billing details into a language that is useful for claims submission and receiving reimbursements in return. Codes are valuable, but understanding what corresponds to them is more important.

As a medical facility or healthcare provider, you aim to provide the best possible medical solutions, determining the right diagnosis and treatment plan for your patients. You also manage the costs of running your health facility.

In the healthcare industry, medical billing and revenue leakages can result in significant loss because of long payment cycles. These include the billing process, right coding insertion, and raising claims for insurance companies to receive quick money reimbursement.

Revenue cycle management (RCM) is essential to every business. And, it bears paramount importance in the healthcare industry. During a public health crisis like the Covid-19 pandemic, it has become vital to keep healthcare centers in operation.

Whenever or wherever a revenue leakage report surfaces, you’ll find that there are alternative solutions, methods, and strategies to fix such leaks. In order to prevent these problems from impacting your practice, It’s important to keep yourself prepared and overcome the loop-holes in your management, inventory, finances, operations, and billing.

It’s vital for healthcare providers and medical practices to utilize precise and error-free practice management software for the medical billing process in order to optimize their credibility and revenues, saving them both time and money.

Industry InsightsMIPS: Transition Year vs. Full ReportingInsightsIf you think the new Quality Payment is easy, it may be because we are in the transition year. CMS has made 2017 a transition year to get practices up to speed with the new requirements. This year you only need to report the bare minimum to avoid the

Industry InsightsMIPS: Choosing the Right Quality Measures for Your Practice InsightsNow that we have covered the basics of MIPS (read here), let’s get into the main focus- how to choose the right quality measures for your practice. Even if you do not plan on fully participating this year, you will need to in 2018. Picking

Industry InsightsMIPS: Understanding the BasicsInsightsMIPS: The basics explainedIf you haven’t thought about MACRA yet, the time to start is now. The new Quality Payment Program came into effect January 1, 2017. Let’s start out with the basics…If you see more than 100 Medicare patients or bill more than $30,000 to Medicare a year, you are