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You’re ready to open a small practice or have accepted a new position at a medical group, and now you’re on a journey to secure medical insurance credentialing. What does this entail? And why is it important?   Medical credentialing is the process of verifying a healthcare provider’s qualifications to ensure

From submission to payment, managing medical claims is no easy feat, with manual data entry, complex codes, and the constant threat of denials posing hurdles along the way. This administrative burden doesn’t just slow down your payments; it takes valuable time away from patient care.   If you are considering ways

It doesn’t take much digging to find that most revenue leakage doesn’t happen in the laboratory itself; it happens in the billing office and affects labs of all sizes and specialties.   From the sheer volume of tests processed daily to the diverse and ever-changing rules set by payers, the financial

A laboratory’s billing cycle seems straightforward. A physician orders a lab test, the lab provides the services, and the insurance company provides compensation for the time, labor, and materials used.   Unfortunately, this isn’t exactly a straightforward process. It can take anywhere from several days to several months to complete, and

Laboratory billing plays a crucial role in the healthcare revenue cycle, having a significant impact on a laboratory’s financial health and day-to-day operations. But too often, people see it as just another routine billing process, missing how important and complex it truly is.  Yes, it involves submitting claims to insurance

Healthcare providers need critical patient information—current medications, allergies, previous surgeries, chronic conditions—to deliver safe and coordinated care. The ability of electronic health records (EHRs) to seamlessly exchange this information, known as interoperability, directly addresses the limitations of paper records and siloed data.          But more importantly, it also allows providers a

Effective claim denial management in your practice is essential for maintaining a healthy revenue cycle. When done right, it minimizes revenue loss, reduces administrative burdens, and accelerates reimbursements.   This article explores the fundamentals of medical claims denial management, common pitfalls, proven strategies, and how leveraging technology can transform your approach—all

After a long day of treating patients, the last thing you want to worry about is the mountain of paperwork and headaches involved in billing insurance companies.   From registering patients and coding services to submitting claims and managing payments, it’s an exhausting multi-step process.   That’s where a clearinghouse becomes invaluable. 

Navigating the complexities of Medicare billing can feel overwhelming, but understanding and adhering to Medicare billing guidelines is critical for the financial health and legal standing of your healthcare practice. Why?  Ignoring Medicare billing compliance isn’t just procedural oversight—it can lead to audits, penalties, and even accusations of fraud.   Here,