Efficient billing - expEDIum Solutions Blog

Why First Pass Claim Rate Matters More Than You Think in Medical Billing

By Suvarnna Babu July 25, 2025

Medical billing is rarely a one-and-done task. Even the most efficient practices often find themselves caught in a cycle of rejections, denials, and resubmissions. This back-and-forth doesn’t just slow down payments—it drains valuable time and resources that could otherwise be…

Practical Pillars to Accelerate Healthcare Revenue Cycle Growth in 2025

By Suvarnna Babu July 25, 2025

Healthcare practices and billing companies today face a frustrating reality—increased complexity without proportional efficiency. Payers continue to introduce new rules, patient financial responsibility keeps rising, and technology—while promising—is often fragmented or underutilized. Many RCM teams are stuck in reactive cycles,…

Medical Billing Software vs. Full RCM Services: What’s Right for Your Practice?

By Suvarnna Babu June 13, 2025

When a clinic begins to grow, the focus quickly shifts from just “treating more patients” to “managing the business of care.” Claims get delayed, denials become frequent, and suddenly, what once felt manageable is now a daily struggle with forms,…

Understanding Payer-Specific Rules: A Guide for Efficient Claims Management

By Suvarnna Babu June 5, 2025

Are Payer Rules Holding Back Your Revenue Cycle? If you've ever had a claim denied for what seemed like a small oversight—like a missing modifier or an outdated CPT code—you’re not alone. For healthcare providers and billing teams, navigating payer-specific…

Why Scalable Billing Software is Key to Growing Multi-Specialty Practices

By Suvarnna Babu June 5, 2025

Is Your Billing System Ready to Grow with Your Practice? As multi-specialty practices expand—adding new service lines, providers, or locations—the complexity of billing operations increases exponentially. Managing diverse specialties under one roof introduces challenges in coding, payer requirements, and revenue…

Enhancing Public Health Billing Efficiency Using expEDIum Medical Billing Software

By Suvarnna Babu May 30, 2025

Is your public health department still relying on manual processes or disconnected systems to manage billing?Many government-run healthcare facilities face operational hurdles when handling claims, especially when dealing with multiple payers like Medicaid, Medicare, and private insurers. These challenges often…

Patient Payment Agreement in Medical Billing: A Win-Win for Providers and Patients

By Suvarnna Babu May 30, 2025

Did you know that over 100 million Americans struggle with healthcare debt?Or that nearly two-thirds of adults fear unexpected medical bills more than serious illness? With rising deductibles and out-of-pocket expenses, it's no surprise that patients often delay or avoid…

The Real Cost of Claim Denials for ASCs and How to Prevent Them

By Suvarnna Babu May 16, 2025

You’ve performed the procedure, documented every step, and submitted the claim—only to receive a denial notice days or even weeks later. For Ambulatory Surgery Centers (ASCs), claim denials aren't just minor hiccups. They are costly disruptions that can delay reimbursements,…

10 Proven Strategies to Improve Workflow Efficiency in Ambulatory Surgery Centers

By Suvarnna Babu May 16, 2025

In the fast-paced world of outpatient surgical care, time is not just money—it’s patient satisfaction, clinical outcomes, and operational sustainability. Ambulatory Surgery Centers (ASCs) are under increasing pressure to deliver high-quality care while juggling resource constraints, staffing challenges, and rising…

Medicare Care Management Changes in 2025: What Providers Must Know Now

By Suvarnna Babu May 9, 2025

Is your practice ready for the Medicare care management overhaul in 2025? With CMS rolling out some of the most significant changes in recent years, providers are facing both exciting opportunities and critical adjustments. From streamlined billing codes to expanded…