The transition from volume-based to value-based care in the healthcare industry has been significantly influenced by the Medicare Access and CHIP Reauthorization Act (MACRA). A key component of this act is the Merit-based Incentive Payment System (MIPS), which plays a crucial role in determining how healthcare providers are reimbursed under...
How to Avoid Mental Health Billing Claims Denials?
Introduction Mental health services are essential to the overall well-being of individuals, yet obtaining appropriate reimbursement for these services often presents significant challenges. The process can be daunting, particularly when claims are denied, affecting the financial stability of mental health practices. One effective strategy to mitigate these challenges is to...
Pros and Cons of Outsourcing Durable Medical Equipment Billing
Managing durable medical equipment (DME) billing is a complex and constantly evolving task for many healthcare practices. As regulations change and billing processes become more intricate, outsourcing DME billing has become an appealing option for many practices looking to streamline their operations and improve their financial performance. While outsourcing offers...
Effective Denial Management Strategies to Minimize Claim Rejections
Denial management plays a vital role in ensuring the financial stability of healthcare organizations. Claim denials can disrupt cash flow, increase operational costs, and ultimately lead to lost revenue if not addressed properly. To minimize claim rejections, implementing effective denial management strategies is essential for a smoother revenue cycle and...
How Outsource Credentialing Services Improve Practice Operations?
Healthcare practices are constantly navigating the complexities of both patient care and administrative tasks. Credentialing, a critical aspect of healthcare management, ensures that providers are qualified and authorized to deliver care. However, the credentialing process can be time-consuming and complicated, often diverting resources from patient care and practice management. Many...
