Opening and operating a medical practice, whether it is a clinic or hospital, is not an easy task. This past year has further cemented the importance of healthcare practices and the need that patients have. Maybe your practice has been open for many years, or perhaps it has just opened. Whichever [...]
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So far Claire Yu has created 16 blog entries.
Not all claims are paid in full or some are denied completely, and there could be many reasons for this. Ensure that you understand the reason behind each payment and work to resolve any issues. First, if there is a denial, it will show up on the Explanation of Benefits (EOB). [...]
Set to take effect on January 1, 2022, the No Surprises Act aims to protect patients against surprise medical bills. After years of debate, the Act was passed at the end of 2020. What is this Act and what does it entail? We will provide a brief summary here to help [...]
Patient pre-registration is one of the first crucial step in the revenue management cycle. With new patients or updated information of existing patients, your practice needs to reflect everyone's insurance plans and medical information in your records. Therefore, it is extremely important to keep an up-to-date record in your system. What [...]
What is an EOB? An EOB, or Explanation of Benefits, is a report from the insurance payor with their decision on the insurance claim. It contains important information such as the procedure billed and the amount paid. You will typically receive this 30-45 days after submitting a claim. Different insurance [...]
Previously, we wrote about some common medical billing terms needed for your practice. Next, we have put together a few more medical billing terms that may help you in medical billing. Revenue Cycle Management (RCM) Revenue Cycle Management is the process of regulating your practice’s revenue cycle. From the moment [...]