More than 15 years back, US medical billing companies realized that outsourcing a part of their billing functions to offshore medical billing vendors can be beneficial. With the offshore vendors’ assistance, US medical billing companies can easily face billing complexities, sophisticated technolo...

The modernization of the healthcare medical claims processing has brought in so many changes to the existing workflow and medical billing and coding patterns. Payment postings no exception in that list. Traditionally, payment explanations were sent out in the form of paper EOBs (Explanation of Be...

Most medical billing companies in the US have a specially-recruited team of professionals to handle claim denials. The reason is that they anticipate claim denials from insurance payers, which has become more frequent these days. When a claim gets denied, the specialized team takes several steps ...

Medical billing companies in the US go through a lot of hardships to manage their clients’ inflated AR. It has been found in a research that the money spent in resolving the denied claims is more than the actual reimbursement that has to come in when claims get processed otherwise. This situation...

The HIPAA 5010 migration, ICD-10 Implementation are some changes that have not only revolutionized the healthcare domain, but also imposed a huge responsibility on medical billing and coding companies in the US. Yes! It has forced several medical billing companies to update their outdated softwar...

We all know that Healthcare Providers are trying their best to sustain their practice, especially after the new healthcare reforms. It is the same scenario with US based healthcare outsourcing companies as well. Since their end-clients are facing the changes, the healthcare outsourcing companies ...

A medical billing company’s growth or stagnation is determined by the accuracy level of medical billing services performed. The healthcare revenue cycle management stays on the positive side, if the accuracy level is high. Conversely, the company might face many difficulties with reimbursements, ...

One of the trickiest situations in medical billing is to ascertain the Primary, Secondary and Tertiary payers when the patient is covered under more than one group payer. When the wrong payer is selected, it usually results in a denied claim which needs re-work prolonging the time taken for payme...

The recent buzz in the healthcare domain is about the CMS’s latest announcement on the Bundled Payment initiative. On Jan 31, 2013, the Centre for Medicare & Medicaid Services has proclaimed that more than 500 healthcare organizations are participating in this initiative. The main motive of t...

Maintaining a healthy revenue cycle is one of the greatest challenges that Healthcare Providers and medical billing specialists face in the current scenario. The reason for revenue losses and untimely reimbursements is mainly claim denials. Although medical billing specialists show extreme care i...