June 10, 2024

In the evolving landscape of healthcare, patient-centricity has become a guiding principle. Beyond clinical care, this approach extends to the financial aspects of healthcare, including billing and payments. More and more healthcare providers are realizing the significance of crafting a patient-focused billing experience emphasizing transparency, affordability, and convenience. In this comprehensive guide, we will explore […]

The Medicare Outpatient Code Editor (OCE) is a software designed to identify coding errors during the processing of bills submitted by outpatient hospitals. Additionally, it verifies that all outpatient claims submitted to Medicare comply with the pertinent coding guidelines. ‘Integrated’ Outpatient Code Editor (I/OCE) The Integrated Outpatient Code Editor (I/OCE) program handles claims for all

Accounts receivable, often abbreviated as A/R, refers to the money owed to organizations for services provided and billed. Payments from payers, patients, and other guarantors contribute to A/R. Ensuring correct and timely payments is a key objective for every organization. A rise in A/R from one period to another indicates that payments aren’t being collected

Retro Authorization: Medical billing companies strive to assist doctors in minimizing claim rejections and enhancing patient satisfaction through effective methods like insurance verification and preauthorization services. Prior authorization is used by health plans to decide if a prescribed treatment or service will be reimbursed. Insurance verification experts aid healthcare providers in managing this lengthy and

Our beginner’s guide provides an overview of essential medical billing and coding terms, covering both terminology and common abbreviations and acronyms utilized in the field. In the healthcare industry, medical billing and coding are indispensable. These processes facilitate hospitals and doctors’ offices in requesting payment for their services. If you’re considering entering this field, you’ve

Medical claims contain codes representing various key entities, such as the patient, provider, and billing service. An “entity code rejection” occurs when one of these codes is invalid, often due to it being missing, expired, or incorrect. For instance, if the patient’s ID code is outdated or the provider’s NPI number is incorrect, the claim