expEDIum Solutions Blog - Welcome to expEDIum!

What Are the Quality Checks in Medical Billing?

By Suvarnna Babu December 5, 2024

Have you ever received a medical bill that didn’t make sense, leaving you frustrated and uncertain about what you’re paying for? Errors in medical billing are not only a source of stress for patients but also a significant challenge for…

What Sets Ambulatory Care Apart from Primary Care?

By Suvarnna Babu November 28, 2024

Have you ever wondered about the differences between ambulatory care and primary care? If you’re like many healthcare consumers, these terms can seem confusing, especially since both play pivotal roles in maintaining and improving your health. Understanding these distinctions is…

Why Your Specialty Matters When Choosing a Medical Billing Company

By Suvarnna Babu November 28, 2024

Have you ever faced delays in claim reimbursements or unexpected denials that left your practice struggling with cash flow? If so, you might have wondered whether your medical billing partner truly understands the unique needs of your specialty. Running a…

7 Proven Strategies to Boost EMS Billing and Collection Efficiency

By Suvarnna Babu November 22, 2024

Emergency Medical Services (EMS) providers are critical in delivering life-saving care, often under immense pressure. However, the financial sustainability of these agencies is increasingly tied to the efficiency of their billing systems. EMS billing services is not just about securing…

Understanding Medical Claims: Navigating the Basics, Challenges, and Solutions

By Suvarnna Babu November 14, 2024

Navigating medical claims can be daunting, whether you're an individual or a business seeking healthcare for employees. This comprehensive guide will cover the fundamentals of medical claims, explore common challenges, and offer actionable insights to simplify the process, ensuring smoother…

Understanding the Difference Between Explanation of Benefits (EOB) and Medical Bills

By Suvarnna Babu November 14, 2024

If you’ve received a notice from your insurance provider labeled “Explanation of Benefits” (EOB) shortly after a medical appointment or procedure, you might be wondering if this document is a bill that requires immediate payment. The EOB and medical bill…

Enhancing Healthcare Efficiency with Electronic Prior Authorization (ePA)

By Suvarnna Babu November 8, 2024

Is your practice struggling with time-consuming prior authorization processes? In today’s fast-paced healthcare environment, any delay in treatment can be detrimental—not only to patient health but also to the efficiency and reputation of your practice. For many providers, traditional prior…

How to Increase Medical Collections Effectively During Deductible Season

By Suvarnna Babu November 6, 2024

Are you struggling to increase medical collections as patients’ deductibles reset for the new year? For many healthcare practices, the deductible season can be particularly challenging, as higher out-of-pocket costs often create a gap between services rendered and payments received.…

How Can Healthcare Systems Combat Physician Burnout and Improve Provider Satisfaction?

By Suvarnna Babu October 30, 2024

Physician burnout is no longer just an occupational risk; it’s an epidemic. Recent statistics show that over half of physicians in the United States report experiencing burnout, with nearly 40% considering either reducing their clinical hours or leaving their positions…

How Clinically-Driven Revenue Cycle Management is Reshaping Healthcare Finances and Patient Care

By Suvarnna Babu October 30, 2024

In today’s fast-evolving healthcare landscape, where financial constraints and high patient expectations intersect, healthcare providers must confront a critical question: How can they enhance both patient experiences and financial performance without overburdening clinical staff? Could clinically-driven revenue cycle management be…