Category: Revenue cycle management (RCM)

The revenue Cycle Management (RCM) process is the lifeline of healthcare finance. As it involves managing the entire patient journey, from appointment scheduling to claim reimbursement, the slightest error can significantly impact the financial health of healthcare providers. The RCM process consists of several intricate steps that can often be time-consuming and error-prone when done […]

Discover how an AI Medical Coding Assistant can help healthcare providers maximize revenue capture. In the heart of a bustling city, there exists a small medical practice dedicated to providing personalized healthcare to the local community. The medical practice often found itself struggling to stay afloat. The doctors and staff were managing all the administrative […]

The healthcare industry is witnessing a transformational shift with the integration of artificial intelligence (AI) into various aspects of patient care. However, the potential of AI extends far beyond clinical applications; it also holds the key to revolutionizing the healthcare revenue cycle. The revenue cycle encompasses the entire process of managing patient financial interactions, from […]

Healthcare denial management plays a crucial role in ensuring smooth operations and financial stability. Denials occur when claims are rejected or not fully reimbursed by insurance payers, leading to significant revenue loss for healthcare providers. RCM companies and healthcare billing departments face various challenges when it comes to denial management. This article will explore the […]

 63% of healthcare providers indicated that they are facing revenue cycle staffing shortages, according to a CWH Advisors report from the 2022 PatientPay study. On the one hand, the number of new patient cases is increasing drastically; on the other hand, there aren’t enough coders to manage the patient cases. According to AHA, total patient […]

What’s the difference between Medical Coding and Billing? Let’s first understand, what is medical coding and medical billing? Medical coding and billing are highly essential aspects of the healthcare and RCM industries that involve translating medical procedures, diagnoses, and services into standardized codes for documentation and reimbursement purposes. Medical coding vs medical billing Medical coding […]

High pressure on healthcare providers to deliver high-quality care is not new. What makes this challenging is controlling costs and efficient revenue cycle management (RCM). This is where providers take the help of RCM companies. But, RCM companies also struggle with assigning appropriate billing codes to medical services provided to patients. Medical coding aspect of […]