Category: News

8 Signs You Should Run From Your Current Medical Billing Company

One dollar for every $10 of private practice revenue is at risk of not getting reimbursed from insurance companies — often because of errors in the submission process. If you are experiencing this frustrating reality, you are not alone. But that doesn’t mean there’s nothing you can do about it. Medical billing companies are experts… Read more »

4 Easy-to-Use RCM Software Platforms for Home Health

revenue cycle management

Every type of healthcare system needs an organizational process to keep their finances in order, including home health services. In order to be sure that clinical functions such as claims processing, payment, and revenue generation are being accurately accomplished, facilities will often turn to a healthcare revenue cycle management software. If you don’t have a… Read more »

The Top 9 Medical Billing Denial Codes and Reasons

Medical billing denial codes are one of the most frustrating parts of running a medical practice. Not only do they mean lost money; they also often mean that you’re going to have to waste your time either fighting the denial or trying to collect from the patient. Know the Top Reasons for Claim Denials Understanding… Read more »

Your Practice Is Losing Money Without Proper Denial Management

medicare claim denied

A Medicare claim denied is a lost opportunity for income. When private insurers reject claims, you may be put in the untenable position of collecting funds directly from patients, particularly alienating them, or writing off the lost funds. The average medical practice has a profit margin of about 13%. Eat into this too much through… Read more »

10% of Medicare Claims Are Rejected, Impacting Home Health

Claims can be rejected for a variety of reasons. The most recent data from the Centers for Medicare & Medicaid services show the denial rate hovering around 10%. No two insurers are alike, some will cover one thing while another will not. Medicare has specific guidelines for covering home health, and in order to ensure… Read more »

Why You Need an Aging Report for a Home Health Agency

There is no avoiding that rejected claims can have a major impact on a home health agency’s overall success. You need to be sure that your billing team is keeping on top of this activity, and that is not always an easy thing to monitor. The critical tool here is keeping your accounts receivables (A/R)… Read more »

5 Ways to Spot a Super Biller

Post by Petria McKelvey, CEO Think about it, with a super biller you will never be broke! Am I wrong in assuming that being super holds more value, absolutely not. As a business owner in this industry, you cross paths with so many different types of people. The niche is being able to identify that… Read more »