Telehealth - expEDIum Solutions Blog

RCM compliance and audits for healthcare providers

By Anupriya Oraon April 5, 2024

The healthcare industry is undergoing a dynamic revolution, and within this transformation, Revenue Cycle Management (RCM) compliance and audits have become critical elements for providers. Striking a balance between financial stability and observing regulations is crucial, impacting healthcare practitioners' livelihoods. …

Identifying & Addressing Underpayments in Medical Billing

By Anupriya Oraon April 5, 2024

Is your medical practice unsure if it's receiving full reimbursement for services provided? Underpayment in medical billing is a common concern, especially for smaller practices. Unlike denials, where a claim is rejected, underpayments involve receiving less than the billed amount.…

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…

Claim Denied: The 5 Common Mistakes You Need to Avoid

By Anupriya Oraon February 6, 2024

Denying a claim can lead to financial losses for clinics, hospitals, or providers. Denials of claims can be prevented by understanding the common errors that result in them and preventing them from occurring is the first step to a smoother…

A Step-by-Step Guide for Transitioning to EHR Software

By Suvarnna Babu October 25, 2023

The adoption of virtual health has become a necessity, especially after COVID-19 restrictions forced healthcare providers and patients alike to get creative, like transitioning to EHR software, for example. Now, virtual care isn’t going away. On this note, PMS and…

Creating a Patient-Centric Billing Experience: Key Considerations for Small Practices

Creating a Patient-Centric Billing: Key Considerations for Small Practices

By Suvarnna Babu October 10, 2023

In an era where healthcare is evolving towards value-based care, it's crucial for small medical practices to ensure that their billing processes align with patient-centric principles. While the healthcare system is making strides in providing high-quality care, billing procedures often…

Navigating Electronic Medical Records: Advantages & Disadvantages

By Suvarnna Babu August 31, 2023

Healthcare organizations are increasingly using technology to streamline processes and improve patient care. One notable solution is the adoption of Electronic Medical Records (EMRs) to digitize and centralize patient data. EMRs offer benefits like simplified record-keeping, improved data accuracy, and…

The Impact of Telemedicine on Gastroenterology Medical Billing and Coding

By Suvarnna Babu May 18, 2023

In recent years, telemedicine has emerged as a transformative phenomenon in healthcare provision, facilitating remote connectivity between patients and healthcare providers for consultations and follow-ups. This rapidly progressing domain within the healthcare sector utilizes advanced technology to deliver medical services…

HIPAA-Compliant Patient Payment Process: Guidelines and Best Practices

By Suvarnna Babu April 5, 2023

As a healthcare provider, it is essential to ensure that your patient payment process complies with the Health Insurance Portability and Accountability Act (HIPAA). HIPAA is a federal law that sets the standards for protecting sensitive patient data. Failing to…