Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 8, 2023

prgseo March 8, 2023 Steps to Conduct a Successful Medical Billing Audit An audit is a periodic assessment of your medical practice according to the current billing and documentation standards. A comprehensive billing audit is the only way to navigate the billing errors and rectify documentation lags.

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Etactics

JANUARY 18, 2024

In this blog, we’ll explain the importance of revenue cycle management in the healthcare space. That means all things regarding claims, payments, and revenue are associated with the revenue cycle. Accurate and sufficient claims need to be created, processed, and submitted to the patient’s insurance company. Sounds simple…right?

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Etactics

SEPTEMBER 28, 2022

The truth is, though, that there really shouldn’t be any reason why the claim denial landscape is so grim. You see, 8 out of every 10 denials are completely avoidable. In other words, most healthcare organizations have the opportunity to collect on claims that insurance organizations didn’t initially accept…they’re just not doing it.

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Etactics

SEPTEMBER 7, 2023

There were nearly 50 million denied healthcare claims in 2021. Based on the total number of in-network claims submitted, that averaged out to a 17% denial rate. In other words, healthcare claim denials are a plague that every healthcare organization has to not only deal with but also try to figure out ways to manage them.

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Etactics

OCTOBER 20, 2023

According to a KFF report , 2021 saw an increase of 17 percent in in-network claim denials. Not many people can confidently say they understand everything about the medical billing and coding system. The intricacies of medical billing as a practice can be perplexing. Especially when handling denied medical claims.

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Etactics

DECEMBER 1, 2023

Did you know that poor billing practices cause American doctors to lose around $125 billion each year ? Medical billing and coding has many challenges. If you keep up with our blogs or work in the industry, you know exactly what I’m talking about. For example, two terms are commonly misunderstood by billing professionals.

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Medicare Medicaid Medical Services Prevention 52

Etactics

MAY 11, 2023

In 2021, around 16% of all medical claims submitted received a denial code. That percentage ended up equaling about 48 million denied claims! This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue.

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Etactics

FEBRUARY 10, 2023

There are between 5 and 10 percent medical claim denials on average, according to the AAFP. In 2020, across HealthCare.gov insurers, reports show that 18 percent of in-network claims resulted in claim denials. Healthcare insurance companies assign these codes to claims that are unable to process. Let’s dive in.

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Etactics

NOVEMBER 3, 2022

30% of insurance claims get denied on their first submission. Part of this is because of the complicated nature of the claim adjudication process. There’s nothing simple about the claim submission process. Any medical biller with some experience will agree that there are a lot of steps. What is a claim?

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Bill Of Health

JUNE 5, 2023

medical licensing exam , diagnose illnesses , and even outshine human doctors on measures of perceived empathy , raising many questions about how AI will reshape health care as we know it. What are the risks of using generative AI systems like ChatGPT in medical practice, and who is ultimately held responsible for patient harm?

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Etactics

JANUARY 18, 2023

Nearly 15% of all claims get denied according to AARP. This amounts to over 200 million claim rejections each day! Medical billing has plenty more disheartening statistics, but I’ll spare you on all of those for now. There are ways you can avoid claim rejections and thus keep your revenue flowing.

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Healthcare Healthcare Providers 52

Etactics

SEPTEMBER 20, 2022

86% of all healthcare claim denials are avoidable. Of course, the true answer to that question is that healthcare claim submission isn’t cut and dry. After all, healthcare is in the “business” of treating patients…not catering to the claim submission requirements set forth by insurance providers. Why is this the case?

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Medicare Healthcare Prevention Hospitals 52

Etactics

OCTOBER 27, 2022

Medical billing is a headache. After all, you clicked to read this blog post because of those pesky rejection codes, right? A claim rejection is not a denied claim. A claim rejection happens because you submitted the claim to a payer or your clearinghouse. So what is a rejection code?

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Etactics

FEBRUARY 16, 2022

If you’re new to working in healthcare, you may be feeling overwhelmed by the complexities of medical billing. You need to make sure that you do it right the first time so that you don’t end up with claim denials. You need to make sure that you do it right the first time so that you don’t end up with claim denials.

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Physical Therapy Accountability Medicare Medicaid 52

Etactics

FEBRUARY 16, 2022

If you’re new to working in healthcare, you may be feeling overwhelmed by the complexities of medical billing. You need to make sure that you do it right the first time so that you don’t end up with claim denials. You need to make sure that you do it right the first time so that you don’t end up with claim denials.

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Physical Therapy Accountability Medicare Medicaid 52

Etactics

APRIL 6, 2023

When it comes to denial management in medical billing , the U.S. If you’re reading this and you’re in the medical billing field, I’m sure I don’t have to spell out why these numbers seem to be on the rise. This is maybe obvious, but how about the fact that there is a growing number of medical claim denials?

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Etactics

DECEMBER 15, 2021

Second, it’s a term that’s best described as one of a medical organization’s worst nightmares. In other words, a denial in the medical billing space means that you aren’t getting paid. However, that piece creeps outside the scope of this particular blog post. The term “denial” in the healthcare world has two meanings.

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Doctors Healthcare Prevention Healthcare Providers 52

Etactics

JANUARY 18, 2022

Whether you’re a seasoned behavioral health professional that just opened a private practice or a biller that just landed your first job at a facility, you have to figure out how to bill insurance companies for counseling services. Two statistics help paint the dismal picture that is billing insurance companies. It’s not that easy.

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Etactics

FEBRUARY 8, 2022

$262 billion worth of claims get denied on an annual basis according to HFMA. More than 85% of denials are potentially avoidable and one-third of them are absolutely avoidable. More than 85% of denials are potentially avoidable and one-third of them are absolutely avoidable. That’s an insane statistic.

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Icanotes

APRIL 13, 2021

Mistakes and errors on the claims you submit to insurance companies can delay payment or cause the company to reject your claim. The Benefits of Using a Medical Clearinghouse. In health care, a clearinghouse accepts claims information from a provider. The clearinghouse can also update the claim to ensure compatibility.

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Etactics

DECEMBER 21, 2021

Ask any medical biller what their arch-enemy is and they’ll identify one of the two main types of codes that they work with. Although both types of those codes are an essential part of the medical billing process, they lead to a lot of headaches for billers and the organizations they represent.

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Bill Of Health

MARCH 9, 2022

outline one set of approaches to touch in a recent Journal of Medical Ethics blog. They provide no evidence to support this claim. e Devenot, Emma Tumilty, Meaghan Buisson, Sarah McNamee, David Nickles, and Lily Kay Ross. Acknowledging the need for such guidance, McLane et al. Consent and Autonomy. McLane et al. McLane et al.

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Etactics

JANUARY 11, 2022

If you mention the word “billing” to any mental professional, they’ll shutter. Although the billing rules within the mental health space seem archaic, the practice sends shivers down the spine across the entire medical world…regardless of specialty. You see, the average initial claim denial rate in Q3 of 2020 alone hit over 11%.

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Etactics

MARCH 2, 2022

These bills become problematic when the borrower misses a payment or stops making them altogether. This results in one-quarter of Americans who don’t pay their bills on time. If you’re reading this blog, then you most likely know what these people do. If you’re reading this blog, then you most likely know what these people do.

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Accountability 52

Etactics

NOVEMBER 17, 2022

Just because this blog post lists plausible scenarios, doesn’t mean you won’t encounter something completely different in the real world while on the job or as a guest somewhere. The National Human Trafficking Hotline recorded 3,596 cases of human trafficking involving a hotel or motel from its creation in 2007 to the beginning of 2018.

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