Healthcare Billing Specialists | Medcal Revenue Management

The Importance of Provider Credentialing

November 29, 2018

Provider credentialing, which is the process of getting a provider enrolled with payers, is a crucial step in the overall revenue cycle. Being credentialed with many insurance plans allows for increased patient volume as most patients try to choose a provider within their network to keep their out of pocket expenses low.

 

To learn more about provider credentialing, click here.

5 Tips to Help You Get Paid Faster

November 15, 2018

Your billing procedures can have a significant impact on the financial health of your practice. If a claim is rejected during the billing process, the practice must review, reconcile, make appropriate corrections and resubmit the claim. Due to the complexity of medical billing, the number of denials and rejections can reach as high as 50%. Another reason for this high-percentage is due to the insurance companies denial of services that are not covered under the policy.

 

To learn more about these strategies, click here.

Strategies for Increasing Revenue

October 15, 2018

In today’s environment, it is vital to have a high-performance revenue cycle. Healthcare providers are faced with many financial challenges and pressures continue to rise in order to change patient care delivery and payment systems. It is, therefore, essential for healthcare providers to ensure they are paid on time and profits are distributed efficiently to continue a high standard of care.

 

To learn more about these strategies, click here.

Important Billing Metrics

October 09, 2018

It is equally important to monitor the performance of your practice as well as provide exceptional care to your patients in order to become a successful healthcare provider. As a medical practice, there are a few medical billing metrics that are useful in determining your billing effectiveness and efficiency.

 

To learn more, click here.

How to Reduce Insurance Claim Denials

September 16, 2018

Claim denials are an inescapable problem for any medical practice, especially because it is directly related to revenue and overall cash flow. Healthcare organizations' annual losses from denial write-offs range from as little as 1 percent of net patient revenue to as high as 4 or 5 percent, according to Advisory Board

 

To learn more about reducing claim denials, click here.

EMMG Expands Credentialing Services

August 26, 2018

In an effort to better serve our clients, EMMG has expanded the capabilities of its Provider Credentialing & Enrollment services! Our experienced Provider Credentialing team is now supported by state-of-the-art technology improving compliance, efficiency and communication.  This enhances our ability to ensure our client practices obtain or maintain enrollment for the services they provide by confirming that payers have the data they need to process claims for services provided.

 

To find out more about this service, click here.

Protecting Your Patient's Data

July 29, 2018

The data of a medical practice is only as safe as its weakest component of software, hardware or IT service provider. Many cyber attacks have been easily carried out due to practices not doing something as simple as updating their server software. For a hacker, this is the equivalent of leaving your key in the front door of your office.

 

Learn how to keep your data secure here.

3 Tips to Improve RCM

July 11, 2018

In order to keep operational costs low and patient satisfaction high, it is essential the practice receive payments from patients and insurance companies in a timely manner to maintain profits. This means the revenue cycle must be managed effectively. We’ve come up with a few tips to help your practice achieve this.

 

Read more here.

How to Find the Best Medical Billing Company

June 27, 2018

When looking to outsource your medical billing process, you will find many practices offering the same things. Even if you know the services you’re looking for, it can be tough to figure out who meets your criteria. For those looking to engage a billing specialist, researching the various companies online can be extremely hard. It’s challenging to know if a company is reputable and trustworthy.

 

Learn how to find the best medical billing company here.

5 Tips to Improve Practice Billing

June 06, 2018

Healthcare providers aim to keep operational costs low while also striving to provide high-quality patient care. In order to do this, it is essential the practice receive payments from patients and insurance companies in a timely manner to maintain profits. This means the revenue cycle must be managed effectively.

 

Click here for 5 tips to make this happen in your practice!

Claim Rejections and Denials

May 22, 2018

Claim rejections and denials are major pain points for any medical practice as these are directly related to revenue and cash flow. Often times the two terms are used interchangeably, however, claim rejection and denials are not the same. Despite the similarities, this minor misunderstanding can create major errors and can have a negative impact on the overall revenue cycle. 

 

Learn more about claim rejections and denials here.

Medical Billing Practices

May 03, 2018

An important part of revenue management, the process of medical billing is known as the communication between the medical practice and the insurance company, also known as the billing cycle. This cycle can take months if not done properly and can take many back and forth communications if there are problems. 

 

Your billing procedures can have a significant impact on the financial health of your practice. Learn more about best practices here.

Importance of Revenue Cycle Management

April 19, 2018

Today’s healthcare providers strive to keep operational costs low while also aiming to provide high-quality patient care. In order to do this, it is essential the practice receive payments from patients and insurance companies in a timely manner to maintain profits. This means the revenue cycle must be managed effectively.

To read more, click here.

EMMG Launches a New Website

April 11, 2018

A brief history about us, EMMG was founded in 1992 in a response to the growing needs of healthcare providers and their staff to navigate an increasingly complex billing and collections environment. Our growth has been driven by the dramatic rise in legislative and regulatory requirements. This steady growth has increased our client list over the years and in 2017 we processed more than 2.5 million claims! 

 

Read the full article by clicking below:

https://www.emmgbilling.com/new-website-same-emmg

DO EHR'S Deliver Billing Cost Reduction?

March 07, 2018

Duke University studied the impact of expanded utilization of EHR's to measure the actual impact on cost for providers. The disappointing outcome reveals the expected savings in time and money have not been realized. Read the full article by clicking the link below:

https://www.forbes.com/sites/hbsworkingknowledge/2018/03/07/electronic-health-records-were-supposed-to-cut-medical-costs-they-havent/#43ea66c45060

Easy tips for physicians to reduce billing errors

August 02, 2017

 “We all make mistakes transposing CPT codes wrong or ICD-10 codes wrong or putting on the wrong modifier,” he says. “Those are easy to rectify. Usually the insurance company comes back letting you know you did something wrong.

http://medicaleconomics.modernmedicine.com/medical-economics/news/easy-tips-physicians-reduce-billing-errors?page=0,1

36% of Providers Never Address Patient Financial Responsibility

August 17, 2017

 Healthcare organizations are struggling to collect full patient financial responsibility, especially with the rise of high-deductible health plans. Yet, 36 percent of providers report never discussing a patient’s ability to pay prior to delivering care, a recent survey of over 230 providers and 1,000 adults revealed.

https://revcycleintelligence.com/news/36-of-providers-never-address-patient-financial-responsibility

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