Medical billing errors negatively impact healthcare practices in many ways. Some errors reflect actual illegal behavior with severe consequences. Others simply create major operations delays that damage your revenue stream and workflow. Whatever the case, RevWerx is here to help. We can help you spot errors in your billing system through an internal audit. After…
Many behavioral health practices use their staff to manage in-house billing services for their clients. This may work in the short term, but adding this extra responsibility to overworked staff can give rise to unnecessary complications, errors, and delays. These additional issues add up to financial strain on the behavioral healthcare-based business. The true goal…
If you run a healthcare practice, remaining financially viable should be a top priority. An economically sound practice will allow you to provide your patients with the best possible care and treatment and invest in future growth. A significant contribution to the financial health of practices today is implementing revenue cycle management (RCM). Revenue cycle…
When a billing department has been experiencing a higher rate of insurance denials, aging claims, and delinquent payments, you can be certain that it’s time to look for new solutions for your billing department. However, when things seem to be operating smoothly and efficiently across the board, it’s difficult to notice potential issues that can…
For many, it feels as if healthcare revenue cycle management becomes more complicated every year. With new medical codes, regulations, and guidelines released every year, it can be challenging to catch up and stay ahead of the curve. Healthcare facilities are established to care for patients and improve the lives of the individuals in their…
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…
An upcoming internal financial audit can make even the most experienced provider a little bit nervous. You want to be properly prepared for it, of course, and although an outside perspective can quell those fears, it can be nerve-wracking to have someone new come to take stock of your processes. The reality, however, is that…
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…
In any healthcare industry, but especially in the growing fields of substance abuse and behavioral healthcare, denied claims and delayed reimbursement could be a troublesome thorn in the side of any billing department. Sometimes, a quick fix can remedy a late payment, but dedicated aging collections management could be needed to track down payments and…
Healthcare revenue leakage is an all-too-common and pervasive beast and operates among billing departments all over the nation. This is partly due to the fluctuating nature of payer regulations, but it can also be affected by the sheer complexity of the entire billing and audit process. However, solutions do exist, even if they can be…