Strategic Management of Deductibles, Allowables, Coinsurance, and Out-of-Pocket Maximums

Billing Process

Enhancing Financial Performance in Healthcare Facilities  For healthcare facility owners, navigating the complexities of financial operations is paramount to sustaining profitability while delivering quality care. A nuanced understanding of financial mechanisms such as deductibles, allowables, coinsurance, and out-of-pocket maximums is essential. Collaborating with specialized billing companies like RevWerx RCM can significantly enhance a facility’s revenue…

Everything You Should Know About Healthcare Claim Management

Billing Process, Claims Management Services, Healthcare Consulting, Healthcare RCM, In-House Billing, Insurance Reimbursement

For any healthcare company, management of billing and medical claims can be a source of stress. These claims, however, can also be a great source of data for healthcare providers. They can provide insights into diagnoses and procedures, referral patterns, and more. With an advanced understanding of medical claims management, a healthcare billing provider can…

Working With Insurance Providers for Rehab and Mental Health Treatment

Addiction Treatment Consulting, Billing Process, Claims Management Services, Insurance Reimbursement, Mental Health Consulting, Substance Abuse

If you are a mental or behavioral health professional today and you’re having issues getting reimbursement for your claims or experiencing an increase in denied claims, you’re not alone. The country is in the midst of a mental health and substance use epidemic parallel to the Covid pandemic. Many people are having to jump through…

Should You Use Insurance Claims Management Software?

Aging Collections, Billing Process, Claims Management Services, Insurance Reimbursement, Treatment Coverage

Time is one of the most valuable resources that any medical facility or practice has to offer. It can also be one of the most challenging aspects of your organization to manage. You need time to focus on providing exemplary care to your patients, yet you must also balance your organization’s business needs, especially your…

Ways to Improve Healthcare Claims Management

Billing Process, Claims Management Services, Healthcare RCM, Insurance Reimbursement, Treatment Coverage

The healthcare claims management process can be a long and arduous one. An insurance claim often passes through many hands between the appointment itself and the final payment, and that can leave room for many errors. Improperly handled, this process will add more stress and strain to your staff’s workday, which can detract valuable time…

Why ‘Digital-First’ Works Well for Claims Management

Billing Process, Claims Management Services, Healthcare RCM, In-House Billing, Insurance Reimbursement

The complexity of the various moving parts in the billing department can feel overwhelming for even the most experienced provider. This feeling can get even more pressing when it comes to claims management. Healthcare costs are steadily increasing, and with that growth, the industry as a whole moves forward each year. In addition, clients are…

Benefits of Having a UR Nurse on Staff

Billing Process, Claims Management Services, Healthcare RCM, UR Nurse, Utilization Review

Balancing high-quality care for your patients while still operating your organization with proper efficiency and economic oversight can be a difficult task for many. In the racetrack that the healthcare industry has become, hospitals and other healthcare practices must stay nimble to ensure that quality care and financial stability remain hand-in-hand. Utilization management in healthcare…