The Revenue Cycle Blog

G codes in medical billing ensure accurate reimbursement for specialized Medicare services, from preventive care to telehealth, filling gaps that CPT codes may miss. Understanding their use is essential for smooth billing and compliance.

Did you know denial management in healthcare is essential for optimizing revenue cycles? It identifies issues, streamlines processes, and boosts cash flow.

Check how patient scheduling reduces wait times and boosts patient satisfaction. Read the 6 best practices to improve workflow and revenue management in healthcare.

Read how revenue cycle analytics optimizes healthcare billing, claims and collections. Learn the benefits, key metrics, industry trends in AI & automation.

Learn essential pediatric billing and coding practices with our guide. Improve accuracy, avoid denials, and ensure proper reimbursement with expert tips.

Explore the top challenges in healthcare credentialing that can impact service delivery and compliance. This guide identifies 9 key obstacles and provides expert insights and solutions to navigate the complex credentialing landscape effectively.

Navigating 2024's Strategies for DME Success with Modifiers and Durable Medical Equipment. Achieve mastery in billing accuracy and revenue optimization. Streamline operations with expert guidance. Contact us today to unlock your practice's full potential.

Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.

Most companies struggle with the emotional outsourcing decision that changes the status quo. When you eventually make the outsourcing decision, you must tread with caution. You rely on your partner to deliver the financial and clinical outcomes you value the most.

Discover how the Front-End Revenue Cycle serves as the cornerstone of financial success and an improved patient experience in healthcare. Learn about trends and strategies for optimizing patient registration, scheduling, and insurance processes.

DRG-based reimbursement (Diagnosis-Related Group), plays a pivotal role in determining the payment healthcare facilities receive for treating Medicare patients. While the primary diagnosis code identifies the main reason for hospitalization, the significance of secondary DX codes in the DRG-based reimbursement process cannot be overstated.

The Florida Legislature recently amended the Florida Electronic Health Records Exchange Act to prohibit certain healthcare providers utilizing certified electronic health record technologies from storing qualified electronic health records outside of the United States, its territories, or Canada.

DME billing involves submitting and processing claims for durable medical equipment, and outsourcing DME billing services can help healthcare professionals streamline the process, minimize denials, and ensure accurate reimbursement.

ABA (Applied Behavior Analysis) therapy billing refers to the process of submitting insurance claims for reimbursement of ABA therapy services provided to clients. ABA therapy billing is a complex process that requires a high level of attention to detail and a deep understanding of insurance and reimbursement policies.

Discover effective strategies for revenue cycle optimization in your medical billing company. Learn how to improve operational efficiencies and profitability with insights from Medical Billing Wholesalers' blog.

With headwinds of cost increases, reducing reimbursement rates, and declining patient visits, Physician practices must refocus on operational efficiencies to achieve profits sustainably. Revenue cycle KPIs are essential in measuring your Practice's performance and guide on improving.

The offshore-onshore relay race refers to the collaboration between the onshore operations of your medical billing company or in-house RCM team and offshore providers of revenue cycle services across processes such as medical billing, medical coding, patient access, accounts receivable, and denial management.

Process rigor is essential in revenue cycle transformation because it helps ensure the accuracy, consistency, and efficiency of the revenue cycle processes. A lack of process rigor can result in errors, duplications, and delays that can negatively impact the financial performance of an organization.

In healthcare, the labor shortage is not limited to clinical roles but extends across administrative functions. If you look at the revenue cycle, lack of timely filing and follow-ups can increase denials and result in delayed cashflows. In this blog, we look at some of the strategies revenue cycles CFOs are deploying.

Here’s a list of top considerations for choosing the right revenue cycle technology for your organization: