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…

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…

Why Is Utilization Review Important in Healthcare?

Healthcare Consulting, Healthcare RCM, Treatment Coverage, UR Nurse, Utilization Review

Utilization review, or the process of reviewing an episode of care, is often necessary to justify charges and payments to an insurance company and can also be valuable in determining the best course of action to care for a patient. Encouraging complete documentation and oversight is paramount to running a successful practice. The system of…

How to Improve the Relationship Between Insurance Companies and Providers

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

Many difficulties exist between insurance companies and healthcare providers. Beyond a doubt, this relationship should be seamless, ensuring the patient receives the care he or she needs. Yet, that is rarely what occurs. Instead, insurance claims management becomes difficult and complicated. To improve claims management, decide to work with a company specializing in it. Our…