Healthcare is a constantly changing industry, especially when it comes to billing practices, and the world of substance abuse treatment can be even more of a wild card. With nearly constant new regulations and complicated insurance procedures, it’s easy to feel like you’re in over your head. You need to plan ahead to ensure your…
Time is one of the most valuable resources that any medical facility or practice has to offer. It can also be one of the most challenging aspects of your organization to manage. You need time to focus on providing exemplary care to your patients, yet you must also balance your organization’s business needs, especially your…
When a billing department has been experiencing a higher rate of insurance denials, aging claims, and delinquent payments, you can be certain that it’s time to look for new solutions for your billing department. However, when things seem to be operating smoothly and efficiently across the board, it’s difficult to notice potential issues that can…
For many, it feels as if healthcare revenue cycle management becomes more complicated every year. With new medical codes, regulations, and guidelines released every year, it can be challenging to catch up and stay ahead of the curve. Healthcare facilities are established to care for patients and improve the lives of the individuals in their…
In today’s medical billing process, aging claims and delayed reimbursement on insurance claims are all too common. This can be even more of a burden than usual on locations with high patient traffic and smaller staff. A single aging claim can stop the entire RCM cycle in its tracks and cause significant issues for your…
The healthcare claims management process can be a long and arduous one. An insurance claim often passes through many hands between the appointment itself and the final payment, and that can leave room for many errors. Improperly handled, this process will add more stress and strain to your staff’s workday, which can detract valuable time…
Utilization review, or the process of reviewing an episode of care, is often necessary to justify charges and payments to an insurance company and can also be valuable in determining the best course of action to care for a patient. Encouraging complete documentation and oversight is paramount to running a successful practice. The system of…
As the social stigma surrounding mental healthcare dissipates and people become more comfortable with caring for their mental and emotional well-being, the mental healthcare industry continues to grow. Mental health providers find themselves with more and more clients and less time to manage the other aspects of their business. This is why mental health consulting…
An upcoming internal financial audit can make even the most experienced provider a little bit nervous. You want to be properly prepared for it, of course, and although an outside perspective can quell those fears, it can be nerve-wracking to have someone new come to take stock of your processes. The reality, however, is that…
The complexity of the various moving parts in the billing department can feel overwhelming for even the most experienced provider. This feeling can get even more pressing when it comes to claims management. Healthcare costs are steadily increasing, and with that growth, the industry as a whole moves forward each year. In addition, clients are…
