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How Are Rehab Clinics Increasing Collections with Offshore Billing Services?

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  Rehabilitation clinics play a vital role in assisting patient recovery from different kinds of medical conditions but financial constraints always threaten their continued provision of care. Did you know? U.S. healthcare providers, including rehab clinics, encounter annual losses of around $125 billion due to poor billing efficiency and denial management. Research also shows that medical claims get denied at an initial rate of 20% but around 60% of these denied claims never receive resubmission which causes revenue loss. In fact, the clinic faces rising operational costs, staff shortages, and strict compliance measures that make financial sustainability more difficult. All this complicated medical billing process results in delayed reimbursement payments which harms the financial stability of the clinic. As a result, most rehab centers choose optimal solutions at this critical time for streamlining their billing processes and maximizing revenue cycles. Let us see how...

Denial Management and AR Follow-Ups for Better Claims Resolution

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  Undoubtedly, healthcare providers encounter major difficulty when faced with denied claims as effective management helps prevent notable revenue losses. The initial denial rate exceeds 20% of all claims, according to the American Medical Association study, and most claims are never resubmitted, leading to financial losses for healthcare providers. Studies indicate that insurers maintain 59% of claims rejected by providers throughout the appeals process. The evidence demonstrates strong reasons to implement effective  denial management systems and accounts receivable (AR) follow-up  methods to generate higher revenue and decrease financial risks. Understanding Denial Management and AR Follow-Ups The strategic components of revenue cycle management depend on denial management and AR follow-ups. In fact, an understanding of denial management systems and their operational methods can help healthcare providers minimize financial setbacks while maintaining smooth claim op...

A Simple Guide to CPT, HCPCS, and ICD Codes for Healthcare Providers

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  The healthcare industry relies heavily on medical coding since it is responsible for documenting medical services, diagnoses, and procedures for billing and reimbursement purposes. Out of the multiple coding systems, three basic code sets—CPT (Current Procedural Terminology), HCPCS (Healthcare Common Procedure Coding System), and ICD (International Classification of Diseases)—are commonly applied in medical billing and healthcare documentation. In fact, it is crucial to ensure correct and precise application of such codes to avoid claim denials and ensure optimal reimbursement for medical providers. These coding systems need to be understood to ensure a smooth and seamless  revenue cycle management . What Are CPT, HCPCS, and ICD Codes? Each of these coding systems has a specific role in healthcare billing and documentation. Understanding the distinctions between them is essential: ·         CPT (Current Procedural Terminology): ...