Medical billing - expEDIum Solutions Blog

The Gastroenterology Billing Solution: Strategies for Addressing the Most Common Challenges

By Suvarnna Babu January 23, 2023

Generally, gastroenterology medical billing involves billing insurance companies for a patient's gastroenterology procedure using the related codes and practices. It is imperative to use accurate medical coding to ensure that insurers have all the diagnostic codes necessary for timely payment.…

The Role of Insurance in the Financial Health of Gastroenterology Practices

By Suvarnna Babu January 13, 2023

Most gastroenterologists find it hard to answer the question, "Is my practice financially healthy?". With declining reimbursements, complicated regulations, and growing patient responsibility, maintaining the business side of the healthcare practice can be difficult. However, the good news is that…

3 Strategies to Improve Healthcare Revenue Cycle Management

By Suvarnna Babu December 20, 2022

Gone are the days when revenue cycle management was simply about collecting payments from patients. Rather, it is now an essential tool in any healthcare organization's marketing strategy to amplify all sources of revenue. Among these sources are private medical…

Understanding Healthcare Reimbursement with the Revenue Cycle Management (RCM) Cycle

By Suvarnna Babu December 8, 2022

If you work for a hospital or health system, you've likely heard the term healthcare revenue cycle used around your place of employment. But what exactly is this process? And why do hospitals need to track all administrative and clinical…

Insurance Eligibility Verification (IEV): How to Streamline a Complex Process?

By Suvarnna Babu November 29, 2022

Many medical professionals and facilities experience claim denials, but in reality, the process is often misunderstood. In most cases, claim denials result from failing to verify benefits properly before providing services. Verifying insurance eligibility and obtaining prior authorization is an…

Common Reasons for Insurance Claim Denials and How to Avoid Them

By Suvarnna Babu November 23, 2022

It can be a frustrating experience for everyone involved when a patient's insurance claim is denied. In addition to being stressful for you and your patients, it can negatively impact the business cash flow too. Although some claim denials can…

Patient Payment Challenges—and How to Resolve Them

By Suvarnna Babu October 26, 2022

For any healthcare provider, keeping up with patient reimbursement is a constant challenge. High deductibles might seem like a good strategy initially, but they don't always pay off in the end. Over the last few years, the total percentage of…

5 Proven Medical Billing Tips to Improve Payment Collections

By Suvarnna Babu October 11, 2022

The medical billing process can be equally complex and frustrating for providers and patients. To get paid, providers must submit accurate and complete claims to insurance companies, which can be time-consuming. What's more, insurance companies often deny claims or only…