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How a Revenue Cycle Partner can Help Your Practice Reduce Rate of Denials
Revenue Cycle Management
Piyush Kedia

How a Revenue Cycle Partner Can Help Your Practice Reduce the Rate of Denials

According to a recent Healthcare Information and Management Systems Society (HIMSS) survey, 76.1% of healthcare leaders say denials are their greatest challenge within RCM if you want to reduce rate of denials. Denied, rejected, resubmitted and underpaid claims can cost your practice as much as $100,000 per month according to the AMA. This is precisely

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March 14, 2023 No Comments
CPT Codes for Cardiology 
Coding
Piyush Kedia

Your Ultimate Guide to CPT Codes for Cardiology 

Medical coding is a crucial component of the healthcare industry, and it’s vital to ensure that every medical service provided is accurately coded. Know here all details about best cpt codes for cardiology. Medical coding errors can lead to various issues such as claim denials, revenue loss, and even legal implications. According to recent studies,

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March 2, 2023 No Comments
How to Deal with Disruption Due to Prior Authorization
Revenue Cycle Management
Piyush Kedia

How to Deal with Disruption Due to Prior Authorization  

Prior authorization (PA) is time-consuming and fraught with administrative and financial burdens for physicians and their staff, typically requiring extensive communication and follow-up for disruption due to prior authorization. A recent American Medical Association survey revealed that physicians and their staff spend an average of 13 hours each week completing PA requests. On an annual basis,

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February 27, 2023 No Comments
Six Effective Practices for Coding and Billing Clean Claims 
Claims
Piyush Kedia

Six Best Practices for Coding and Billing Clean Claims 

Increase in the number of denials  Health practices are struggling to manage an increase in the number of denials for coding and billing clean claims and underpaid claims as denial rates have continued to soar. With 33% of hospitals now reporting average claim denial rates of 10% or higher, the provider community is forced to spend nearly $8.6

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February 23, 2023 No Comments
Which CPT Codes are used for billing Ketamine treatment? 
Coding
Piyush Kedia

Which CPT Codes are used for billing Ketamine treatment? 

Although we no longer provide coding services for billing Ketamine Treatment, we are certain that you can enjoy timely reimbursements by accurately coding your services, which is why we have compiled for you, a guide on billing for Ketamine treatments.  The health insurance landscape is ripe for mistakes, misjudgments, and calculations. EMPClaims has always tried

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February 21, 2023 No Comments
The process of Provider Credentialing consists of many moving parts
Revenue Cycle Management
Piyush Kedia

The Process of Provider Credentialing Consists of Many Moving Parts

The primary purpose of provider credentialing is to ensure that healthcare providers have the required training and experience to provide the highest level of care to patients. But often undertaking the entire process in-house can be high-risk and overwhelming to staff. What can providers do to improve verification and validation of professional’s qualifications?  Understanding the

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January 27, 2023 No Comments
Important Revenue Cycle Metrics Your Practice Should Measure
Revenue Cycle Management
Piyush Kedia

Important Revenue Cycle Metrics Your Practice Should Measure

Awareness of the financial health of your practice is the key to reducing leakage and accelerating revenue to make strategic decisions and implement effective changes. Here are quantifiable KPIs that you can utilize to assess the health of your revenue cycle metrics. Make sure to measure and observe them at intervals since improvements in each of

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January 25, 2023 No Comments
How to understand patient responsibility and not lose out of revenue
Revenue Cycle Management
Piyush Kedia

How to Understand Patient Responsibility and Not Lose Revenue

In a recent survey of more than 130 hospital leaders conducted by Becker’s, healthcare providers indicated that their largest challenge to revenue earnings was patient financial responsibility.    “As many patients opt for High Deductible Health Plans (HDHPs) physicians are observing an increase in Patient responsibility balances.”   What is patient responsibility?   Responsibility for paying medical bills

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January 19, 2023 No Comments
7 Quick tips to Optimize Revenue for your Urgent Care
Revenue Cycle Management
Piyush Kedia

7 Quick tips to Optimize Revenue for your Urgent Care

There’s no denying it, revenue for your urgent care centers are popular for owners, practitioners and patients alike. With a typical wait time of 30 minutes or less care is provided not just quickly, but affordably and efficiently – the market is projected to grow to  $26 billion in 2023. But mistakes made in urgent

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January 12, 2023 No Comments
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