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Physician and hospital billing are often confused as the same thing, but there are a few significant differences. Both have their own sets of challenges and require special expertise to handle their complexities. A clear understanding of these billing processes is important for financial management, enhanced patient care delivery, and streamlined revenue cycle operations. Physician… Continue reading Is Physician Billing Different Than Hospital Billing? Here’s the Answer

Mental health conditions are prevalent, affecting millions of individuals across the globe. Fortunately, effective behavioral health services can significantly improve a patient’s quality of life. However, mental health providers often grapple with complex billing and coding processes, hindering their ability to deliver quality care efficiently. Unlike medical billing, behavioral health billing necessitates a distinct set of codes… Continue reading Optimizing Reimbursement for Mental Health Providers

Prescription Drugs Excluded One notable issue with the recent CMS rules on prior authorization is their exclusion of medication prescriptions. Requiring prior authorization for medications can create barriers to patient care, causing delays in treatment access, care disruption, and increased paperwork for healthcare providers and patients. This is especially problematic for patients with ongoing medical needs, as… Continue reading Addressing The Limits of the New CMS Prior Authorization Rules

Medical billing is a vital part of healthcare administration and can be especially challenging for smaller medical businesses such as independent labs and specialist practices. Accurate and timely billing is crucial for practitioners to receive payment for their services, keep their offices running smoothly, and provide high-quality care to patients. Insurance companies and government payers… Continue reading How to Know If Your Claims Are Being Underpaid

Taking care of patients isn’t just about giving top-notch medical treatment. It’s about every single interaction they have with your clinic, from scheduling appointments to following up with them after their treatment.  And don’t forget about keeping costs low; it’s vital for your clinic’s financial well-being, especially given the current challenges in reimbursement.  This is… Continue reading Enhancing Patient Experience with AdvancedMD Platinum Partner