Revenue Cycle Management - expEDIum Solutions Blog

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…

Navigating the Shift: Value-Based Care and Its Impact on Medical Billing

By Suvarnna Babu March 8, 2024

The US healthcare system is facing a multitude of challenges, and the push towards value-based care is a significant step towards addressing them. This system prioritizes outcomes, quality, equity, and cost of care, moving away from the traditional fee-for-service model…

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…

Essential Revenue Optimization Strategies for EMS Billing

By Anupriya Oraon February 21, 2024

EMS medical billing refers to submitting claims to insurance companies and other payers for the services rendered by Emergency Medical Services (EMS) providers. Optimizing Emergency Medical Services (EMS) billing revenue is crucial for sustaining operations and ensuring financial stability. Here…

Common Challenges to EHR Adoption in GI Clinics and How to Avoid Them

By Suvarnna Babu February 20, 2024

In the early 1990s, a trend in the shift from paper-based health records to electronic records started; this was in response to advances in technology as well as the advocacy of the Institute of Medicine in the United States. Over…

How to Improve Medical Billing for Your Gastroenterology Practices

By Anupriya Oraon February 8, 2024

Medical billing is crucial for gastroenterology practices, especially given the specialty's integral complexity. The gastroenterology market is set to surge from USD 54.56 billion in 2023 to an estimated USD 93.8 billion by 2032, driven by factors such as the…

Benefits of EHRs in ASCs: Enhancing Quality of Care and Patient Outcomes

By Suvarnna Babu February 7, 2024

In today's rapidly evolving healthcare landscape, the adoption of electronic health records (EHRs) has become critical for healthcare providers to optimize workflow efficiencies, enhance patient care, and improve outcomes. While EHR adoption has been widespread in clinics and large hospital…

Measures for a Healthy Practice: Avoiding Negligence and Malpractice in Medical Billing

By Suvarnna Babu February 7, 2024

Medical billing is a complex and crucial aspect of the healthcare system, ensuring that healthcare providers receive rightful compensation for their services. However, within the intricate web of codes, regulations, and documentation, there exists a potential minefield of negligence and…