Etactics

APRIL 12, 2024

I recently entered a job that revolves around the healthcare industry. My point in beginning with this is that I write weekly blogs about healthcare and human resources and I STILL find myself getting pretty confused on all the different components that come into play with medical billing. What’s insurance?

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Etactics

SEPTEMBER 1, 2023

Recovering revenue from healthcare insurance providers is one of the most important aspects of running a modern-day practice. Of course, what I’m referring to is the revenue cycle industry. If you’ve ever tried to work through the revenue cycle for your business alone, you likely know how convoluted the process is.

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Etactics

MAY 11, 2023

This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue. This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue. So we are here to help you with this blog!

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Etactics

OCTOBER 25, 2022

If you’re a veteran in the healthcare field, I’m sure healthcare revenue cycle management comes second nature to you… or you at least know what it is. Providing healthcare no longer just stays between a doctor and the patient, it now involves many different parties. Advantages of Revenue Cycle Management.

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Etactics

OCTOBER 11, 2023

That doesn’t sound great, but if you flipped the script you’re still receiving 66% of your claim revenue. In 2021 hospitals lost an average of $5 million to their total revenue due to denied claims. Even if you don’t work at a hospital, those losses trickle down to similar numbers for smaller healthcare organizations.

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Etactics

DECEMBER 1, 2023

If you keep up with our blogs or work in the industry, you know exactly what I’m talking about. Even if you’re new here, or just getting started in your career, the American healthcare system should speak for itself - nothing about it is straightforward. Medical billing and coding has many challenges. Don’t panic!

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Etactics

FEBRUARY 23, 2024

Current Procedural Terminology (CPT) codes are so important to understand when it comes to having a better-streamlined revenue cycle for your company. If you don’t know, CPT codes describe services rendered during a healthcare visit by a healthcare professional. Table of Contents What is Dry Needling?

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Etactics

OCTOBER 20, 2023

Even so, those numbers and codes are essential for running a streamlined revenue cycle management process. So what can you do? Understanding what kind of data is necessary and where to place it on a claim can save you from avoidable denials. Table of Contents What is an Internal Control Number (ICN)?

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Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 30, 2023

We offload the exhaustive revenue stream by handling your billing responsibilities while improving claim acceptance. We offload the exhaustive revenue stream by handling your billing responsibilities while improving claim acceptance. We don’t compromise the quality and efficiency of your healthcare services.

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Health Populi

FEBRUARY 1, 2022

The No Surprises Act was meant to support patients’ ability to research health care costs and prices, but hospitals’ implementation of the Act has been spotty, often resulting in poorly-designed websites that haven’t been that helpful to healthcare shoppers. For more on health care costs facing U.S.

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Etactics

JANUARY 26, 2024

In 2021, the amount of healthcare payments from the fee-for-service models equaled 40.5%. There are multiple different healthcare payment models. The models are all different in their method of reimbursing healthcare professionals, each addressing different aspects of: Healthcare delivery. Quality of care.

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Etactics

APRIL 13, 2023

This refers to how well healthcare systems can reduce repetitive and time-consuming tasks in the office. So what exactly are some of the top issues that lead to these administrative challenges, which in turn increase the rate of claim denials ? Healthcare providers often don’t have the manpower or experience to prevent claim denials.

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Cloud Blogs

JUNE 7, 2023

In the post-COVID-19 environment, providers and other healthcare organizations face complex challenges. Protecting data security in healthcare is also a pressing concern. In the e-book “ Enhancing healthcare delivery with cloud solutions ,” discover how to create and sustain a competitive advantage in the digital era.

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Cloud Blogs

AUGUST 9, 2023

In the midst of an ever-evolving healthcare industry with mounting demands, healthcare frontline workers have emerged as true champions helping to carry the industry forward. Amidst rapid change, the healthcare sector is embracing adaptability and resilience.

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Etactics

FEBRUARY 15, 2024

Claim denials continue to plague the healthcare system, bogging down medical billing personnel when it comes to their day-to-day tasks. So what is the secret to regulating your claim denial rate? So what is the secret to regulating your claim denial rate? Table of Contents What is Denial Code CO 29?

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Etactics

JULY 14, 2023

Using Artificial Intelligence (AI) in healthcare can create $150 billion in annual savings for the US healthcare economy by 2026. Another report predicts that AI in healthcare will grow at a compound annual growth rate of 28.75% from 2023 to 2028. Table of Contents What is AI? This is according to a study by Accenture.

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Etactics

NOVEMBER 3, 2022

If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?” What is a claim? What does “adjudication” mean? What is claim adjudication? What is a claim? Healthcare organizations use these documents for reimbursement from insurance companies (aka payers).

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Etactics

APRIL 6, 2023

Healthcare Denial Management Markets , in 2021 denial management reached a value of $3.54 So if you get a claim denial back, say a common claim such as PR 31, you might be wondering, “How do I know what the denial reason is?” Let’s start by going over what a denial code even is. experiences large market sizes each year.

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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. Of course, what I’m referring to are ICD codes and CPT codes…but if you’re working within the industry, you already knew that. Front-end revenue cycle processes account for half of all claim denials on average.

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Sheppard Health Law

JANUARY 9, 2024

Morgan Healthcare Conference, “[T]he answer to the ultimate question of life, the universe and everything is 42.” No, it’s not something from ChatGPT, it’s Douglas Adams’ “The Hitchhiker’s Guide to the Galaxy of Healthcare.” Well, not healthcare…for that you have to be here in San Francisco for the 42 nd edition of this conference.

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Health Populi

APRIL 11, 2019

One of the SMA objectives is to consider the Conference in advance and offer thoughts about what we’ll expect, which I did here in the HIMSS blog space. Trust is a precursor to health engagement, I learned way back in 2008 when I collaborated with Edelman on the first Health Engagement Barometer in 2008.

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Etactics

JANUARY 18, 2023

There are ways you can avoid claim rejections and thus keep your revenue flowing. Knowing the different denial codes and what they stand for is just part of the equation. One common occurrence that we see healthcare organizations struggling with is CO-45. What is a denial code? What does “CO” mean? Conclusion.

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Etactics

MARCH 2, 2023

According to the US Postal Service (USPS) , the top three reasons recipients didn’t receive their healthcare-related mail are… Change of Address (33.08%) - when the addressee has moved from their original address without filing a Change of Address (COA) form. This issue isn’t specific to the healthcare field alone.

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Etactics

AUGUST 31, 2022

In the healthcare space, anything that relates to revenue falls under the industry process formerly known as “the revenue cycle”. It’s a very important process since organizations don’t get very far without revenue. It’s a very important process since organizations don’t get very far without revenue.

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Etactics

JULY 28, 2023

Almost 90% of Americans search for healthcare information on social media. Factors such as how quickly a patient can make an appointment, reviews of healthcare providers, and how healthcare marketing teams use social media drive buying decisions. Table of Contents What is Healthcare Marketing? Build your own brand.

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The Beryl Institute

JUNE 3, 2021

What does that mean? One of my favorite sayings is, “You get out of it what you put in it.” Participation from our global community is how we can collectively continue to build on our core mission of improving the patient experience and our expanded vision of transforming the human experience in healthcare around the world.

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Etactics

AUGUST 30, 2022

What is Claim Adjudication In a nutshell, claim adjudication is the process that every insurance payer goes through to determine how much they owe a provider based on a claim that they received. When that happens, the healthcare organization will see a credit appear in its bank account for the full amount. Easy enough, right?

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Health Populi

MARCH 27, 2018

What a difference a couple of weeks make…. On 1st March 2018, two over-arching issues remained with me leaving Las Vegas and #HIMSS18: the central, recognized role of cybersecurity threats in healthcare, and the growing use of consumer-facing technologies for self- and virtual care. billion active monthly accounts.

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Etactics

MARCH 29, 2022

80% of patients prefer to pay for their healthcare online. From your perspective as a healthcare provider, you want to make your patient payment options as convenient as possible. Well, it’s never easy for a healthcare practice to follow technological trends. Out of all US mobile wallet transactions, 92% happen via Apple Pay.

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Etactics

SEPTEMBER 8, 2022

Healthcare in particular is one of the industries seeing changes in processes from operations to management. But what it takes to safeguard protected health information out of the office can look different. But what it takes to safeguard protected health information out of the office can look different. What is HIPAA?

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Etactics

JANUARY 24, 2023

Healthcare fraud is not a victimless crime. The Department of Justice (DOJ) estimates that healthcare fraud generates roughly $100 billion a year. What’s worse is that these schemes are hard to detect and understand. Oftentimes, perpetrators will commit one type of healthcare fraud to cover up other parts of the greater scheme.

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Etactics

JULY 1, 2021

But I’ll answer that question the long way for the rest of this blog post. Table of Contents Don’t Panic: What’s Changing Shifts in Responsibility Why Medical Coders are Still Needed Ever-Changing ICD 11 and CPT Codes ICD-11 is Coming Off The Cuff CPT Codes Conclusion. What does this mean? Here’s the reality.

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Healthcare Success

APRIL 26, 2022

In this blog post, I share. 10 Things to Consider Before Selecting a Programmatic Analytics Solution for Your Healthcare Brand. You want to see exactly where your ads are appearing and what you’re getting for your money—in real-time. Programmatic advertising has transformed the way people buy and sell online ads. In 2021, U.S.

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Etactics

SEPTEMBER 7, 2023

There were nearly 50 million denied healthcare claims in 2021. I know what you’re thinking, “That was back in 2021, right after a pandemic. 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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Healthcare Success

APRIL 26, 2022

In this blog post, I share. 10 Things to Consider Before Selecting a Programmatic Analytics Solution for Your Healthcare Brand. You want to see exactly where your ads are appearing and what you’re getting for your money—in real-time. Programmatic advertising has transformed the way people buy and sell online ads. In 2021, U.S.

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Etactics

JUNE 2, 2023

In the United States, insurers process over 5 billion healthcare claims annually. To be able to process these claims , healthcare professionals must provide details on the services and procedures provided. Table of Contents What is a CPT Code? Developing medical guidelines and other forms of healthcare documentation.

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Health Care Success

APRIL 11, 2022

Ever since the COVID-19 pandemic, more people are searching social media for reliable healthcare news and resources. Healthcare professionals provide a human necessity, not just a retail product or luxury service. Why Do You Need a Social Media Calendar for Your Healthcare Brand? million Facebook (FB) followers.

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