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Simple Tricks to Avoid Credentialing Related Denials

Credentialing is the process by which insurance networks, healthcare organisations, and hospitals obtain and evaluate documentation regarding education, training, work history, licensure, regulatory compliance records, and malpractice history before allowing a provider to participate in the network. All payers require provider credentialing/registration to avoid fraudulent claims activity. And to ensure providers maintain adequate ongoing education....

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How Patient Engagement Can Increase Revenue and Improve Patient Outcomes

Health experts suggest that patient involvement can lead to better health outcomes. And increased participation in healthcare decision-making. Patient engagement means that patients become agile members of the care team. And communicate regularly with the care team throughout the care process to better manage their health. When care teams tell patients about treatment options and...

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Role of Medical Coding in the Future of Healthcare

Medical coding is one of the most important features of the healthcare industry. Responsible for translating patient information into a universal language understood by insurance companies and other healthcare professionals. In this article, we explore the role of medical coding in healthcare and its importance in ensuring high-quality patient care and ethical billing practices.nnThis information...

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Strategies for Optimising Patient Engagement

The importance of patient engagement is increasingly recognized as a key component of high-performing. And cost-effective healthcare systems that increase medication adherence and self-monitoring. As well as improve population health outcomes. Healthcare organisations that prioritise a strong team-based care infrastructure are better positioned to optimise patient engagement programming. Generally defined as the process of actively...

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How to Choose Best HIPAA Compliant Telemedicine Software

Telemedicine software allows certain health services and information to be provided digitally to patients. This is particularly useful in recent times when there is a need to avoid face-to-face contact. But it also makes medical care obtainable to remote communities that are otherwise not easily accessible. There are many software options available, and this article...

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10 Recommendations for a Successful Credentialing Process Flow

If you plan to start your practice or bring new doctors into an existing practice. Your accreditation process must begin well in advance. It is important to understand how accreditation can significantly affect the speed of your cash flow. And how smoothly your practice runs. Ignoring the authorization process will result in delayed cash flow...

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How to Effectively Review Your Revenue Cycle Process

The healthcare industry is large and there needs to be a proper revenue cycle to function properly. Without a proper and functioning revenue cycle, hospitals will not be able to fulfil their promise to provide superior healthcare services to their patients. Revenue tracking from the first patient appointment to the very end of the reimbursement...

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Patient Experience in Telemedicine: Meeting the Expectations of Virtual Care

The healthcare industry has seen tremendous growth over the decades due to the simplicity and convenience brought by the advancement of today’s technology. However, there are still many challenges for the industry to overcome, especially in the availability and convenience of services for both patients and healthcare providers.n What is Telemedicine? nThe World Health Organization...

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Patient Experience in Specialty Care: Challenges and Solutions

There’s no easy way around it: understaffing has an impact on patient safety and experience. A quality patient experience has a positive impact on patients and their families as well as healthcare facilities. Above all, patients want valuable and high-quality care. The quality of your patient experience reflects your hospital’s ability to retain and attract...