Imagine two patients walking into different hospitals — one in New York City and another in a small rural town in Texas. Both have the same condition, i.e., a broken hip. Despite being treated in entirely different locations, with different staff and facilities, the hospital receives a fixed payment for...
The Hidden Challenges of Skilled Nursing Facility Billing and How to Overcome Them
Are you running a Skilled Nursing Facility (SNF)? If yes, you must keep in mind that operating an SNF involves much more than providing just quality care. SNFs would mean offering 24/7 nursing services, rehab therapies, medication management, and assistance to patients with complicated needs. Due to the nature and...
Outsourcing Medical Billing with Real-Time Dashboards: Enhancing Transparency & Accountability
In a report published by Verified Market Research, the Revenue Cycle Management (RCM) software market stood at $105.18 billion in 2020 and is expected to reach a whopping $249.44 billion by 2028. This growth is a significant change in the adoption of digital means by medical practices to enhance financial...
Top Denial Reasons in Behavioral Health Billing and How to Prevent Them
With complex payer regulations, changing rules, and varying insurance coverage, even small errors can result in denied claims and lost revenue. Indeed, medical billing denials cost $262 billion each year for U.S. healthcare providers, with as much as 40% of claims initially denied due to errors such as improper coding,...
Scaling Your RCM Team with an Offshore FTE Model: Pros, Cons & Best Practices
If you are a healthcare service provider juggling patient care and paperwork, you know the frustration. Be it endless back-and-forth with insurance companies, coding errors slipping through the cracks, and a billing process that seems to slow down more than it speeds up your revenue. Now imagine having a dedicated...
