Tasks such as billing and credentialing are indeed very intricate and detailed, however, since AI is becoming more and more popular among...

Step 1: Review the Denial Notice What to do : Carefully review the denial notice from the insurance company to ensure it specifies that...

Whether you are performing your own medical billing or you have a billing specialist or a department for that specific task, there are...

While telehealth offers numerous benefits, it is not without its challenges. Some of the key barriers to widespread adoption include: 1....

The widespread adoption of telehealth brings a number of advantages, both for patients and healthcare providers. Here are some of the...

For the past 5 years, clients/patients and medical providers have grown more accustomed to telehealth services. Telehealth is a...

There's no doubt that technology is changing every day. We will forever be inundated with updates, analytics and compliance and security...

Navigating the world of healthcare can be complex for both providers and patients. One aspect of this complexity lies in the process of...

Navigating the world of health insurance can seem like a complex and daunting task, especially with the variety of terminology used in...

These prior authorization requirement updates with UnitedHealthcare affect requests made on or after January 13, 2025. These updates are...

Beginning on the 1st of this year (2025), GEHA has transitioned from UnitedHealthcare Shared Services to full service UMR operations....

Before the call, gather all of the following necessary information: provider/group (TIN & NPI), client/patient/member (DOB, policy#) and...

Introduction Medical providers often tell me that one of their main "pet peeves" is processing insurance denials. A number of medical...

Navigating the process of submitting out-of-network claims can be a challenge for healthcare providers and their staff, especially given...

In the complex world of healthcare, medical billing plays a crucial role not only in ensuring accurate reimbursement but also in...

Obtaining the correct insurance benefits verification information is another very important factor in a medical biller being able to...

A medical provider and/or facility may wonder if it is beneficial to outsource all or part of their administrative tasks to an outside...