Anupriya Oraon - expEDIum Solutions Blog

Streamline Your Billing & Boost Cash Flow With Electronic Claims

By Anupriya Oraon April 25, 2024

Healthcare billing is no longer a paper chase. The introduction of electronic claims submission has significantly transformed medical billing. Electronic claims offer real-time tracking capabilities. Easily track the progress of each claim from submission to payment, allowing your staff to…

Medical Billing vs. Medical Coding in Healthcare

By Anupriya Oraon April 18, 2024

While both sound similar, medical billing and medical coding are distinct parts of healthcare administration that work together to ensure providers receive payment for their services. While both are involved in the revenue cycle, they have distinct functions and require…

RCM compliance and audits for healthcare providers

By Anupriya Oraon April 5, 2024

The healthcare industry is undergoing a dynamic revolution, and within this transformation, Revenue Cycle Management (RCM) compliance and audits have become critical elements for providers. Striking a balance between financial stability and observing regulations is crucial, impacting healthcare practitioners' livelihoods. …

Identifying & Addressing Underpayments in Medical Billing

By Anupriya Oraon April 5, 2024

Is your medical practice unsure if it's receiving full reimbursement for services provided? Underpayment in medical billing is a common concern, especially for smaller practices. Unlike denials, where a claim is rejected, underpayments involve receiving less than the billed amount.…

Revenue Cycle Optimization: Best Practices for Behavioral Health Billing Services

By Anupriya Oraon March 27, 2024

Like any healthcare provider, behavioral health services depend on a steady flow of income to operate. Like medical billing, behavioral health revenue cycle management (RCM) involves distinct complexities. Understanding these distinctions is crucial for maximizing reimbursement. Behavioral health billing: Different…

Strategies for Shortened Claim Cycles and Improved Cash Flow

By Anupriya Oraon March 21, 2024

Efficiency is one of the most significant aspects of healthcare in today's fast-paced setting. This applies to revenue cycle management (RCM), which is responsible for collecting payment for services provided. A major concern for RCM is the length of time…

Addressing Common Challenges in Insurance Verification

By Anupriya Oraon March 15, 2024

In today's healthcare system, checking insurance is key for hospitals and clinics. But sometimes, it feels more like navigating a tangle than a simple process. Insurance verification is one of the critical aspects of healthcare administration, ensuring providers receive the…

The Importance of Patient-Centric Approaches in Insurance Verification Processes

By Anupriya Oraon March 11, 2024

In the healthcare landscape, navigating insurance can feel like an unclear maze. For patients, understanding coverage, verifying eligibility, and anticipating costs can be overwhelming, often leading to frustration and anxiety. This is where patient-centric approaches to insurance verification come into play, transforming…

Evolution of Technology in Medical Billing: Balancing Automation with Human Expertise

By Anupriya Oraon March 7, 2024

Healthcare is an industry that is constantly evolving, where technological advancements dominate a wide range of aspects. However, the role of human expertise remains irreplaceable, especially when it comes to medical billing. Automation and software solutions have undoubtedly improved efficiency…

Strategic Billing: Maximizing Reimbursements for ASC and GI Procedure

By Anupriya Oraon February 23, 2024

In the fast-paced world of healthcare, Ambulatory Surgical Centre's (ASCs) and Gastroenterology (GI) practices continually seek ways to enhance operational efficiency and financial sustainability and reimbursements. Getting the billing process right is most important since it has a significant impact…