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Showing posts with the label Claim Management

The 5 Most Important Reasons to Outsource Medical Billing Management

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Reasons to Outsource Medical Billing Management  Well, in 2019 according to a report by the American Hospitals Association, uncompensated hospital care costs exceeded $620 billion. Just because of the failures in claim processing, billing payment, and bad debt collection cost healthcare providers over $300 billion annually. As per Mckinsey’s article, around 99% of medical bills over $3000 were not paid. Well, according to Bloomberg, bankruptcies in the healthcare industry tripped in 2017. In the first six months of 2018 over eight hospitals were declared bankrupt and the other nine closed their doors. These statics has highlighted the major healthcare issues faced by US healthcare providers these days such as revenue erosion. There are so many factors that are responsible for this problem. The complexity of regulations, demolish nature of the US healthcare system, and billing inefficiencies are the major ones.  Let’s discuss the reason to outsource medical billing manageme...

What Does a Good Medical Billing Software Do?

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 We have listed down all the adamant features that you can find in good billing software. So, if you are thinking about getting one, read this article to know what you should be looking for. CMS has provided a list for each set of category measures. All MIPS 2023 participants can pick the measures by themselves. MIPS 2023 final rule has brought significant changes in almost all categories. However, the quality category has major changes. For MIPS 2023 reporting, CMS has mandated the selection of at least one high-priority measure among all quality measures to be reported by eligible clinicians. High-priority measures are a part of health-related quality measures . In short, CMS has finalized 198 quality measures in total for MIPS 2023 reporting during the performance period. Among these measures, it has made substantive changes to 76 existing quality measures. Along with this, it has introduced 9 more quality measures ; 1 of these 9 measures is an administrative claim measure ....