As a bridge between healthcare providers and payers, healthcare clearinghouses simplify billing processes, ensure compliance with insurance regulations, and enhance the overall efficiency of revenue cycle management. But change is a constant in this dynamic environment, and due to numerous factors, many hospitals have started to explore new horizons with a different clearinghouse vendor. Let’s dig deeper into the why hospitals or physicians practices might change to a different clearinghouse.
The healthcare claim life cycle is an intricate and complex journey that starts from when a patient first checks in at a facility to when they receive a bill from their insurance provider. In this blog, we will explore each step in detail, shedding light on the intricacies of medical billing and its crucial role.
As hospitals and health systems strive to optimize revenue cycle management, the role of edits in streamlining claims processing and expediting payments has become increasingly crucial. Medical claim edits serve multiple purposes, from preventing denials to ensuring compliance with regulations and enhancing revenue capture and standardization. In this blog post, we will explore the significance of edits and the various types that can be employed to maximize efficiency and financial outcomes.
Consistently ranked high among Epic users, discover how SSI’s deep integration and expertise help make Epic medical billing easy.