As hospitals deliberate ways to take in the looming Medicaid changes introduced by the One Big Beautiful Bill Act (OBBBA), one thing is crystal clear: RCM readiness is more critical than ever to offset the financial impact this policy could bring.
AR management, Medical Billing, Prior Authorization, Revenue Cycle Management
Unpacking the OBBBA: One Bill to Touch Them All
The OBBBA isn’t just another act—it’s a seismic shift that could change how patients access care, how solo providers get paid, and how health systems survive. This blog breaks down what it means for healthcare at large.
Medical Billing
6 Best Practices to Improve Medical Coding and Billing Accuracy
When it comes to medical coding and billing, accuracy is everything; a small error can cause a claim to bounce right back from the payer,
Medical Billing
Upcoding in Medical Billing: Effective Strategies to Prevent it
Healthcare providers leave no stone unturned to ensure error-free medical billing practices, but upcoding remains a major issue. Just like downcoding in medical billing, upcoding
Medical Billing, Revenue Cycle Management
What Is Downcoding in Medical Billing and How To Prevent It?
Downcoding is one of the important issues in the healthcare industry, which occurs when a lower-level code is assigned for a medical service or procedure
Medical Billing
Outsourced vs In-House Medical Billing: Which One to Pick?
Given that medical billing is perhaps the most important function that determines the cash flow of your healthcare organization, you should always invest enough time
Medical Billing, Medical Billing Services, Revenue Cycle Management
Top 10 Steps of Medical Billing in Revenue Cycle Management
Accurate and efficient medical billing is vital for optimizing revenue, reducing claim denials, and ensuring the financial viability of healthcare providers.
Medical Billing
Decoding the Top 5 Root Causes for Rising Denials in Medical Billing
Medical billing denial is the biggest stumbling stone in the healthcare revenue cycle. As per Etactics, “In 2021, there were 48.3 million denied claims, accounting for 16.6% of all claims submitted that year.” There can be multiple reasons behind rising claim denials in a practice.
