MedClaims International Blog

The proportion of practice revenue that comes from patient payments is increasingly staggering. This isn’t going to be slowing down any time soon. Armed with this knowledge physicians should be ...

Topics: Revenue Cycle, patient experience

Organizations will need to track how their medical claims are doing if they want to gain insight on how ICD - 10 coding is affecting their organization. Billing systems will need to track:

Topics: Denials Management, ICD-10, EHR Coding

Even before his inauguration, President Trump made one thing very clear – from medical research to patient care – changes will be made to healthcare in the United States under his administration. ...

Topics: Trump, President, World News

What are the effects of change on an organization? What are the unique challenges for healthcare leaders when faced with an industry experiencing constant change? What role does agility and ...

Topics: HFMA, Healthcare Finance, Podcast

Epic conversions are taking place in hospitals all across America. In a recent episode of The Hospital Finance Podcast, Kathy Ruggieri and Mary Devine, senior team members at BESLER Consulting, ...

Topics: Epic transitions, Hospital Finance Podcast, Epic

Remember the old children’s nursery rhyme, “Jack be nimble, Jack be quick, Jack jump over the candlestick?” That may indeed be the formula necessary for helping non-profit health systems to remain ...

Topics: adapt, non-profit health systems, experimental programs, service proliferation

Outsourcing denied claims helps reduce denial incidence as close to its absolute minimum as possible. In addition, outsourcing helps the provider become better positioned to successfully negotiate ...

Topics: outsourcing denied claims, reduce denial incidence, negotiate with payers

Over the past few years, healthcare costs have continued to rise, and the intricacies involved with medical billing have only become more complex. With each change and evolution in compliance ...

Topics: claims

Claim denials pose a significant problem to medical facilities' bottom lines. Despite plenty of due diligence and training, denials are bound to happen. In fact, many denials occur as a result of the ...

Topics: Healthcare Finance, Denials Management, Data Entry Errors

For most people, insurance is part of a love/hate relationship. We have to have it, but we hate paying for it. When it comes down to the wire, patients are faced with payment for their services. ...

Topics: denied claims, Insurance, Medical Economics