Medical billing - expEDIum Solutions Blog

Streamline Your ASC Operations with Efficient Prior Authorization

By Suvarnna Babu April 5, 2024

Prior authorization is a necessary step for ASCs (Ambulatory Surgical Centers) to ensure insurance coverage for procedures. While it helps manage costs, the process can be complex and time-consuming, leading to delays in care and frustration for patients and staff.…

Maximize Reimbursement in Your Gastroenterology Practice with expEDIum

By Suvarnna Babu April 5, 2024

The ever-changing landscape of gastroenterology billing in 2024 presents a challenge: minimizing revenue leakage and maximizing reimbursement. Complex coding requirements, evolving insurance procedures, and varied billing needs demand a strategic approach. That's where expEDIum comes in. We offer a comprehensive…

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…

Optimizing Your EHR System for Better Revenue Cycle Management

By Suvarnna Babu March 15, 2024

In today's healthcare landscape, efficiency reigns supreme. Every step of the patient journey, from intake to discharge, needs streamlining to ensure quality care and financial stability. Your Electronic Health Record (EHR) system plays a crucial role in this process, but…

Addressing the Challenge: How Healthcare Organizations Can Improve Patient Collections in 2024

By Suvarnna Babu March 15, 2024

The healthcare landscape faces a complex challenge: declining patient collection rates. This trend, fueled by factors like rising deductibles and increasing out-of-pocket costs, creates a financial squeeze for healthcare organizations, hindering their ability to deliver quality care. A recent study…

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…