Medical Billing - expEDIum Solutions Blog

Streamline Your Revenue: Improving Healthcare Claims Denial Management

By Suvarnna Babu April 19, 2024

Healthcare providers face a constant challenge: claim denials. Up to 8% of revenue can be lost due to denied claims, impacting not only an organization's financial health but also its ability to deliver quality patient care. An effective denial management…

Medical Billing vs. Medical Coding in Healthcare

By Anupriya Oraon April 18, 2024

While both sound similar, medical billing and medical coding are distinct parts of healthcare administration that work together to ensure providers receive payment for their services. While both are involved in the revenue cycle, they have distinct functions and require…

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…

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…

Streamlining Revenue Cycles: Choosing the Right Offshore Medical Billing Company

By Suvarnna Babu August 18, 2023

In the complex world of healthcare administration, managing medical billing efficiently is a critical component of a practice's success. As healthcare practices face mounting challenges in reworking denials, ensuring accurate coding, and optimizing reimbursement rates, many are turning to offshore…

Why Outsourcing Billing Process Is Better Than in House Billing?

By Suvarnna Babu April 27, 2023

The practice of outsourcing medical billing has gained significant traction among healthcare providers in recent years, primarily driven by the desire to optimize operations and minimize expenses. Nevertheless, a multitude of misconceptions surrounding this practice persists, which may cause reluctance…

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…

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…