Ever wondered how healthcare providers get paid by insurance companies? It all comes down to medical claim forms! These forms document procedures, diagnoses, and treatments, ensuring accurate billing and timely reimbursements. But even a tiny mistake can lead to delays, denials, or financial headaches. Nearly 80% of medical bills contain errors, and claim denials cost […]
Managing revenue in healthcare can be challenging, but tracking the right productivity KPIs makes a huge difference. Studies show that nearly 90% of claim denials are preventable, yet 35% of healthcare providers fail to appeal denied claims, leading to revenue loss. Metrics like days in A/R (industry benchmark: 30–40 days), denial rates (average: 5–10%), and
Medical credentialing helps professionals to fulfill state and federal patient care standards. To assure medical excellence, it verifies a provider’s education, experience, licensure, and professional background. For healthcare providers in Florida, selecting the right credentialing company is essential. According to the Florida Medical Association, HealthCare.gov issuers in Florida refused 13.1% of in-network claims in 2021,
Big changes are coming to the U.S. healthcare system in 2025, and they could hit providers and patients hard especially in radiology. Medicare payment cuts, like the ones in Project 2025, are meant to change how the federal government spends funds on health care. According to the Centers for Medicare & Medicaid Services (CMS), physician
Healthcare providers can have trouble with mental health billing, which can cost them money and cause problems with paperwork. Behavioral health billing differs from regular medical billing because it includes complicated coding, a lot of paperwork, and strict insurance rules. If providers don’t have a sound system, they might have problems with denied claims, refunds
Choosing the best medical billing company can make all the difference for specialty practices looking to optimize revenue and stay compliant with industry standards. Whether you run a cardiology, dermatology, or mental health practice, you know the challenges of complex coding, insurance delays, and ever-changing regulations. In Florida’s dynamic and highly regulated healthcare environment, having
AI is changing how healthcare is done by making it faster, more accurate, and better for patients. AI is transforming operations and reducing the amount of work that needs to be done by hand. For example, it is speeding up diagnoses and automating administrative chores. AI is having a significant effect on medical billing and
A peek at an unexpected medical bill or having to deal with a frustrating insurance argument. Mistakes in medical billing and coding often cause these problems. Even small mistakes can cause healthcare workers to lose money, have denied claims, or have trouble compliance. That’s why accurate billing isn’t just crucial for keeping the business going;
Neurologists must be precise in diagnosis, treatment, and billing. Over 50 million Americans have neurological problems like epilepsy, Parkinson’s disease, and multiple sclerosis, making neurology one of the most complicated medical disciplines. Accurate medical billing is essential to provide timely reimbursements and avoid revenue loss due to increased neurological care demand. Neurology practices face financial
A medical billing audit checklist is a powerful tool for healthcare providers, helping them assess accuracy, compliance, and efficiency in their billing practices. By identifying anomalies, reducing claim denials, and optimizing revenue cycle management, these audits are key to improving financial performance. With a focus on HIPAA and Medicare compliance, medical billing audits not only
Cardiology billing keeps cardiology practices afloat by getting life-saving therapies reimbursed. Cardiology treatments cost roughly $555 billion in U.S. healthcare spending annually, therefore correct billing and coding are essential to maintaining a revenue cycle and avoiding claim denials. The importance of precise coding goes beyond financial health to compliance. AMA says almost 30% of medical
Medical billing is necessary but tricky because it makes sure that services are properly recorded, paid for, and shared between doctors and insurance companies. Medical billing accounts for 20% of a hospital’s revenue cycle costs. Revenue codes are commonly overlooked in this procedure. These key codes, standardized by the American Medical Association (AMA) and other
Insurance credentialing is necessary for obtaining Medicare reimbursements and to make certain that patients have separation of insurance paid services they require. Having knowledge about credentialing is important for maintaining revenue sources in focus for now, as Medicare covers 20% of the total healthcare consumption in the United States. In 2022, approximately 70% of healthcare
RPM technology is bringing constructive change to the future of healing for both patients and healthcare workers. Research And Markets has projected that the RPM market would rise at a CAGR of 27.6% during the period 2020 to 2027 because of the increasing demand for remote healthcare services for chronic diseases. RPM reduces hospital readmissions
Looking at healthcare marketing in 2025, it has never been as important as it is now. Today, 77% of patients are using search engines to find health-related information, so this need for new forms of marketing is greater. Since more patients look for treatments online, it also became important to remain online. The digital age
Subscribe to our Newsletter to receive latest updates
Resilient Medical Billing Service Pvt. Ltd. is on a mission to create a global community focused on simplifying medical billing processes and fostering seamless business interactions within the healthcare industry.
