Claims Management

Top 7 Claim Submission Issues Doctors Wish They Could Eliminate

Top 7 Claim Submission Issues Doctors Wish They Could Eliminate

Submitting clean, accurate medical claims should be a straightforward process—but in reality, it’s one of the biggest challenges healthcare providers face. Every error, omission, or delay in claim submission can lead to denials, rework, and lost revenue. Even small practices spend hours chasing down rejected claims, while large healthcare systems invest heavily in correcting preventable …

Top 7 Claim Submission Issues Doctors Wish They Could Eliminate Read More »

What Are the Types of Denials in Medical Billing

What Are the Types of Denials in Medical Billing?

Medical billing denials are a significant challenge for healthcare providers, impacting cash flow and the efficiency of revenue cycle management. Denials can result from issues like coding errors, incorrect patient information, or insurance coverage discrepancies. These denials often lead to delayed payments, increased administrative work, and the need for claim resubmissions or appeals, driving up …

What Are the Types of Denials in Medical Billing? Read More »

What is Medical Claims Processing and Billing

What is Medical Claims Processing and Billing?

In the ever-evolving landscape of healthcare, ensuring that medical services are properly compensated is paramount. This process hinges on two critical functions: medical claims processing and medical billing. Both are fundamental to the healthcare revenue cycle, ensuring that healthcare providers are paid for their services while patients receive their care without unnecessary financial burdens.   …

What is Medical Claims Processing and Billing? Read More »