Why Should You Consider Outsourcing Your Provider Credentialing Needs?
Whether you’re a private practice or larger healthcare facility, insurance credentialing is the first and most crucial step…
Determining the Right Payer Mix for Your Practice
Many healthcare practices start off with exceedingly small budgets. They have just enough money set aside to start…
Better Understanding of HMO vs PPO
Most Americans receive their health services via managed-care health insurance. This applies to both publicly and commercially insured patients, and the two most…
Medicaid and Credentialing – Let’s Discuss
In 2014, a doctor published an essay, “The Toxicity of Medicaid” on KevinMD. In his essay, which was shared 2,000 times, the emergency-medicine physician…
How to Get Paid More for Your Medical Procedures: Negotiate for Higher Payer Reimbursement Rates for Your Practice
It’s a new year and that means that it may be time for your practice’s annual checkup…
What Is Physician Credentialing?
Physician credentialing is the process of obtaining, verifying, and organizing information that documents training, qualifications, and work history of…
What is Medical Billing?
According to the American Association of Professional Coders (AAPC), medical billing is the preparation, submission and follow-up of health care claims with medical insurance…
What Is Healthcare Revenue Management?
Healthcare revenue cycle management is a financial process used by hospitals and other healthcare providers to manage claims are…
Tips on how to appeal on denied claims
Getting reimbursed for services rendered should be the least of worries for a healthcare provider. Unfortunately, claims are denied often and for various reasons. Luckily…