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Top 5 Mistakes to Avoid When Choosing an Outsourced Medical Coding Partner

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  Imagine! You operate a small but quite busy clinic in the United States and have recently outsourced your medical coding to save time and increase billing accuracy. But soon, in just a few months, you notice increased claim denials, lagging payments, and even patient complaints. Why? You might rush to decide and choose the wrong medical billing and coding partner. Apart from just entering the codes, medical coding is about converting complex medical information into accurate billing data. Incorrect or wrong coding can lead to severe consequences, such as revenue loss, non-compliance risks, and unhappy patients. As a result, finding the right outsourced medical coding partner is crucial. Your chosen company will reflect your clinic’s efforts and influence your revenue and reputation. With so much to lose, it is vital that you do not make some common blunders that healthcare professionals make while  outsourcing medical coding and billing services . 5 Key Mistakes When Outsour...

Scaling Your RCM Team with an Offshore FTE Model: Pros, Cons & Best Practices

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If you are a healthcare service provider juggling patient care and paperwork, you know the frustration. Be it endless back-and-forth with insurance companies, coding errors slipping through the cracks, and a billing process that seems to slow down more than it speeds up your revenue. Now imagine having a dedicated offshore medical billing and coding team that knows your practice like the back of their hand, takes charge of your revenue cycle, and frees up your time for what matters most, i.e., your patients. That’s exactly what the full-time equivalent (FTE) model offers. By tapping into  offshore medical billing and coding services in India , many practices are transforming how they manage RCM without the burden of in-house teams. In this blog, we are taking a closer look at the pros, cons, and best practices of the FTE model so you can decide whether it is time to scale your RCM team the smarter way. Pros of the Offshore FTE Model The offshore FTE model benefits healthcare provid...

ASC Billing vs. Hospital Billing: Coding, Compliance & Reimbursement Differences

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  Medical billing is a critical process in the healthcare industry that ensures providers receive payment for the services they deliver. It involves coding, submitting claims, and managing reimbursements from insurance companies and patients. Though the basic goal of billing remains the same across healthcare settings, the methods and rules can vary widely depending on the type of facility. Ambulatory Surgical Center (ASC) and hospital billing are two common billing types. Although they might seem similar, these billing systems have essential coding, reimbursement, and compliance differences that impact providers and patients. In fact, many healthcare facilities are  outsourcing medical billing and coding services providers in India   to understand the difference more clearly to avoid any denials. This blog will explore those differences in detail, helping you understand how ASCasc and hospital billing work. ASC Billing vs. Hospital Billing: Meaning ASC billing ...

Optimizing DME Billing with the Latest CMS DMEPOS Fee Schedule

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  With the CY 2025 DMEPOS Fee Schedule in effect, CMS has further refined its policies by introducing new HCPCS codes, updating rural and competitive bidding area rates, and many more. As a result, staying current with these updates is a strategic opportunity for DME suppliers and billing professionals to optimize billing practices, prevent denials, and maximize reimbursements. In this blog, we break down the latest CY 2025 DMEPOS Fee Schedule updates and explore proven strategies to align your DME billing practices. Optimize DME Billing with CMS 2025 Fee Schedule As CMS releases the CY 2025 DMEPOS Fee Schedule,  DME billing professionals  and suppliers must align their operations with the latest regulations to ensure maximum healthcare reimbursements. The following are the latest changes with actionable optimization strategies: 1. Adjust for Updated Fees The CY 2025 update introduces changes that directly affect DME billing and reimbursement: ·   ...