Medical Billing: Claim Submission and Follow Up "Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered," as stated on HBMA. Without submitting clean claims on a timely basis, it doesn't matter how many patients you see or how many services you render.

Your healthcare organization or medical practice needs tighter control over the flow of revenue and you are now preparing to deploy Revenue Cycle Management software. If you’re new to RCM applications or are curious about how RCM will integrate into your company’s existing medical billing computation infrastructure, it pays to become more familiar with Healthcare Revenue Cycle Management software and how it works. To help guide you in the decision-making process, here are the top features to look for in Revenue Cycle Management software for both smaller practices as well as large healthcare organizations.

As your organization devotes itself to providing outstanding healthcare for patients, you have to consider what the overall experience is like for each person who passes from the waiting room into the examination room.

It’s all hands on deck when it comes to responding to the COVID-19 crisis. Medical scientists and computer scientists are working toward a common goal to improve how we gather healthcare data and then store and analyze it.

It’s no secret that the more you can standardize and automate processes, the more efficiently you can run an enterprise. There’s a timeline you can draw from the dawn of Henry Ford’s automotive assembly lines to the age of computerization and the ICD-10 codes we use today as standardized, universal descriptions for diagnosing and treating patients.

Each decision you make in a health care environment can lead to life-or-death consequences. That’s why medical professionals study throughout their career. They have to stay current on best practices. But that’s only part of the picture. They need all the help they can get. This is where clinical decision support becomes a factor.

Consider the mountain of information that medical practices, clinics, hospitals and other healthcare service providers collect, store and analyze. The power of all of this data being stored on providers’ servers is difficult to overstate.

Healthcare providers looking to increase cash flow are right to pay close attention to their computer and software systems. That’s essential for making sure they’re using the correct tools for critical jobs. Owners and managers are aware they should know the reason for having a particular application installed and why your staff is using it.

Healthcare professionals must keep top of mind the fact that reporting is a huge part of both financial and clinical records. It can be easy to neglect this important aspect of your organization when you’re primarily focused on delivering services to patients and coordinating care with other entities. But without effective reporting, you can leave both your practice and your patients in jeopardy.

In the early stages of the coronavirus pandemic, so many practices and other medical organizations saw a downturn in patients, with people prioritizing social distancing and staying away from gathering with others indoors. But now that practices are starting to open up again, it's key to consider how we are engaging with patients in between sessions. While doors are open, patients are likely to visit less often unless they need to, so maintaining engagement is more critical than ever.