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The U.S. healthcare landscape is gearing up for significant legislative reforms in 2025. Below is an overview of key upcoming legislation, their effective dates, and their implications for patients, providers, and other stakeholders. 1.⁠ ⁠The Medicare Expansion Act Proposed Effective Date: July 1, 2025 Aimed at increasing healthcare coverage, the Medicare Expansion Act seeks to […]

In the evolving landscape of healthcare, patient-centric billing is emerging as a transformative approach that prioritizes the needs and experiences of patients. This model shifts the focus from traditional, often complex billing systems to a more transparent, understandable, and patient-friendly process. Here’s why patient-centric billing is crucial and how it can benefit both patients and

Introduction In the fast-paced world of healthcare, accuracy in billing is crucial. A medical billing audit ensures that your practice stays compliant with regulations, minimizes errors, and optimizes revenue. This guide walks you through the importance of medical billing audits and the steps needed to conduct a successful one. Why Medical Billing Audits Matter Medical

In the fast-paced world of healthcare, the efficiency of the revenue cycle plays a critical role in ensuring that providers are reimbursed for the services they deliver. A major factor contributing to this efficiency is the submission of clean claims. In medical billing, a clean claim refers to one that is free from errors, complete

In the highly competitive healthcare industry, ensuring a steady and healthy cash flow is essential for the financial stability of any medical practice. However, many US-based healthcare providers struggle to manage their revenue cycle efficiently, leading to delayed payments, reduced collections, and overall financial strain. Maximizing cash flow is not just about increasing patient volume;

The onboarding process at a medical billing company is a crucial phase that sets the foundation for a successful partnership between the billing company and healthcare providers. This process involves a series of steps designed to ensure a smooth transition of billing operations, alignment of expectations, and establishment of effective communication channels. Proper onboarding is

Denial management is a crucial component of Revenue Cycle Management (RCM) and medical billing. It involves identifying, analyzing, and resolving denied claims to ensure healthcare providers receive appropriate reimbursement for their services. Effective denial management helps reduce revenue loss and improve cash flow. Below is a comprehensive overview of the denial management process, incorporating various

The payment posting process in medical billing is a critical step in the revenue cycle management (RCM) that involves recording payments received from patients and insurance companies into the medical practice’s billing system. Here’s a detailed breakdown of the process in the PDF File. Accurate payment posting is essential for maintaining up-to-date patient accounts, ensuring