Experts blame insurance regulators for not ensuring the adequacy of healthcare networks that include hospital-based physicians, such as pathologists and radiologists According to a recent study, clinical laboratories, anatomic pathologists, radiologists, and anesthesiologists top the list of providers who bill patients for the difference between what they charge for their services and a hospital’s contracted reimbursement rates. …

Patient Access Management may be an effective solution! Consumer demand and federal requirements for price transparency affect how clinical laboratories and anatomic pathology groups meet patient expectations while navigating complex payer agreements. Regardless of a clinical laboratory’s payer mix and RCM system, the demand for greater price transparency impacts laboratory medical billing services just as it does other healthcare services. Addressing …

The ever-changing world of testing and laboratory billing has generated numerous questions in the minds of laboratory practice owners regarding the various aspects of testing. There may be some important questions for you to consider like- • Should you outsource billing or coding, or both? • Do you really want to deal with the hassles …

Too often, we witness hospital and individual healthcare providers expecting outpatient laboratory facilities to use the same revenue cycle management (RCM) module that they use and that is part of the EHR software. While the providers may believe the conventional RCM system to be the most cost-effective, it fails to take into account the specific …

Laboratory owners want an efficient laboratory revenue cycle management system, a system that would not only aid in business operations but also contribute to the overall business development. A streamlined approach, right from obtaining orders, processing them quickly and initiating the reimbursement process ensures the practice remains profitable. Medical laboratories see a number of patients …

Introduction to lab medical billing services Lab Services is a field of applied sciences in which a patient with certain health condition is tested for diagnosis, treatment, and prevention of disease. Medical labs are different in size and complexity and offer a variety of testing services. There are several types of labs like- Hematology Laboratory …

EMS billing services stand for Emergency Medical Services. This branch of medicine deals with the transport and treatment of patients in critical health situations that may prove life-threatening to them. This division of Medical Services provides hospitals with emergency medical services to patients. These services are operational 24/7, offering paramedic and basic essential life support …

Medical billing for small practices isn’t just an option anymore. Given the number of practices being set-up every day, getting reimbursed for services rendered is a priority to survive. Being a new practice owner, would you want to spend your time brainstorming on Medical Billing? Or would you rather give 100% to your practice and …

Insurance verification services in healthcare are the first and one of the most crucial steps in the medical billing and coding process. It builds up a base for effective management of the revenue cycle. It has been noticed that most of the claims get denied or delayed for payment by the insurance companies either due …

Laboratories have seen a high influx of patients over the last few years. Toxicology and radiology laboratories particularly. With state of the art tools at hand providing accurate diagnosis you require someone equally adept to handle the various administrative duties and various back-end processes. For choosing to neglect those is choosing to incur revenue losses. …