Claim denials seem like a major part of hospital billing. But what if they can be prevented? In order to avoid the commercial health insurance claims cycle, which seems to…
Throughout 2018, a new trend emerged in healthcare – surgical centers. Although these centers, which are designed solely for outpatient surgeries, have been around for many years, quite a few…
Healthcare experts have come out with a number of predictions for the New Year that involve things like revenue cycle management and claim denials, among other things. In some cases,…
Recent headlines include details on recent lawsuit won by Blue Cross Blue Shield (BCBS) over a series of underpayments on emergency room care in Texas. The lawsuit alleged that BCBS…
Out of network billing is a huge issue for hospitals and clinics, because of the complications involved in the process. A recent law was signed into place in New Jersey…
Medicare Part B is commonly purchased as a supplement to standard Medicare. It fills in some of the gaps, providing things like dental and prescription coverage. Since this form of…
To put it simply, surgical centers are places where outpatient surgeries of all kinds take place. Experts are predicting that the need for these surgical centers will grow in the…
More hospital closures are on the horizon. A recent report from Morgan Stanley identified over 450 hospitals in the United States that are in danger of failing, due to financial…
According to a recent article, commercial health insurance companies, also known as the “payers” in this situation, have been targeting out of network claims lately. This means that many of…
The revenue cycle is incredibly important to hospitals and clinics, many of which run on very thin margins. There are many things to pay for, including patient care, supplies, machinery,…