EL Medical Billing Solutions Podcast

https://www.elmbs.com/exploring-the-advantages-of-outsourcing-to-el-medical-billing-solutions/

https://www.elmbs.com/the-impact-of-hipaa-regulations-on-medical-billing-and-coding-what-you-need-to-know/

We are trying to get YOU the help you need at a very affordable price. https://www.elmbs.com/blog-post

In long-term care facilities, medical coding is particularly important, as it helps healthcare providers track patient care and ensure that patients receive the appropriate level of care. https://www.elmbs.com/crucial-guide-to-medical-coding-for-long-term-care-facilities/

https://www.elmbs.com/cracking-the-code-medical-coding-for-home-healthcare-services/

https://www.elmbs.com/mastering-medicare-and-medicaid-services-medical-billing-and-coding/

Are you wondering if medical billing is legit? With the rising cost of healthcare, it’s no surprise that people are questioning the accuracy of their medical bills. You may be concerned that you’re being overcharged or that you’re being billed for services you didn’t receive. The truth is, medical billing errors are not uncommon. In fact, up to 80% of medical bills contain errors, according to experts. For a more detailed description visit https://www.elmbs.com/is-medical-billing-legit-heres-what-you-need-to-know/

Medical billing and coding is an essential part of the healthcare industry, responsible for translating patient encounters into standardized codes used for claims submission and reimbursement. The process involves reviewing physician notes, patient records, lab results, and other clinical documentation to assign appropriate codes to each service or procedure. This system ensures that healthcare providers receive payment for the services they provide and helps insurance companies accurately process claims. Over the years, medical billing and coding has undergone significant changes, from handwritten patient documents and typewriters to the digitization of patient files and the use of electronic health records (EHRs). https://www.elmbs.com/the-changing-face-of-medical-billing-and-coding-a-look-at-its-evolution/ for full episode description

Medical Billing and Coding: Understanding Why Providers Struggle Medical billing and coding tasks are necessary for healthcare providers to receive payment for their services. However, many medical providers struggle with performing these tasks. Medical billing and coding is a complex process that requires specialized knowledge and attention to detail. One reason why medical providers struggle with medical billing and coding tasks is that it is time-consuming and takes away from the time they could be spending with patients. Medical providers are often overworked and have limited time to devote to administrative tasks such as medical billing and coding. This can lead to errors and delays in payment, which can be frustrating for both the provider and the patient. Another reason why medical providers struggle with medical billing and coding tasks is that it requires specialized knowledge and training. Medical billing and coding is a highly technical field that requires a thorough understanding of medical terminology, anatomy, and coding systems. Many medical providers may not have the necessary training or experience to perform these tasks accurately. As a result, they may make errors that can lead to denied claims or delayed payments. EL Medical Billing Solutions is a terrific outsource if you ever need help. The Importance of Medical Billing and Coding Medical billing and coding is an essential aspect of healthcare administration. It involves the process of translating medical diagnoses and procedures into codes that insurance companies can understand and use to reimburse healthcare providers. https://www.elmbs.com/medical-billing-and-coding-understanding-why-providers-struggle/ for full description.

Are you debating on outsourcing your medical billing? Click here for three awesome benefits of outsourcing your medical billing and coding. Did you know that approximately 80% of all medical bills contain errors? This is usually due to incorrect coding, duplicate charges, or incorrect numbering. Medical billing and coding can be a time-consuming and expensive process. Relying on your own staff has its challenges, and finding experienced coders can sometimes seem like an impossible task. Outsourcing your medical billing has more benefits than you realize and will give your practice the boost it needs. Keep reading this guide to learn three fantastic benefits of outsourcing your medical billing and coding! 1. Access to Certified Coding Specialists Medical coders are required to keep up to date with regulations, medical coding software systems, and best coding practices. They also must keep their certifications current and complete continuing education courses. You'll also have expert help when you're dealing with medical billing errors and claim denials. These companies also work to ensure you get maximum reimbursement when claims are filed. Keeping up with medical coding updates is also a huge time investment. Often a major update will occur and create huge changes in your medical coding procedures, costing you more time and money.  You won't need to worry about these requirements when you outsource your medical billing. Medical billing and coding companies take care of these tasks for you. As a result, you'll have more time to invest in your medical practice. 2. Outsourcing Is Cost-Effective Outsourcing your medical coding and billing is often more cost-effective than having a billing and coding team in-house. The average salary for a medical coder is $54,797, and certified coders with more experience will expect a higher salary. You'll also have to factor in hiring and training costs, and other expenses such as: Health insurance Retirement benefits Paid time off Licensing Maintaining billing and coding software systems With outsourced medical billing and coding, the company you use is responsible for all of these types of expenses. Also, since they specialize in coding and billing, they can offer these services to you at a reduced cost. 3. Better Security and Compliance Security and compliance are a key part of your medical billing process. If you have a medical billing and coding team in-house, you'll need security and disaster recovery systems in place. It's your responsibility to protect your practice against data loss and other cyber attacks. When you outsource these services to a professional company, they'll ensure the necessary security systems are in place. You'll also be able to make sure your healthcare practice stays in full HIPPA compliance. Start Outsourcing Your Medical Billing Today Now that you know the benefits of outsourcing your medical billing and coding, you can take your medical practice to the next level. For help with your medical and billing coding needs, you can turn to the professionals at EL Medical Billing Solutions. We can help you with billing, coding, claim denials, and accounts receivable management. We offer a superior customer service experience and look forward to helping you succeed. Make sure you contact us today to discuss your medical billing options!

Are you looking for a local claims submission company that you can trust? Click here for the ultimate guide to choosing a claim submission company near you. 29 percent of medical claims are denied with $0 paid. More than 50% of these claims are never reworked and reworking a denied claim costs your practice. Outsourcing medical claims submission can help reduce the incidence of rejected claims and save you money. But how do you choose the right company? Keep reading for our ultimate guide to choosing a claim submission company you can trust.  Get On the Same Page About Communication One of the biggest concerns practices have about outsourcing medical claims to a claims submission company is that they won't have good communication. Outsourcing claims submission makes it more challenging to communicate and ask questions, especially when you need a quick response. When you're choosing a claim submission company, be sure to ask what you can expect as far as communication goes. Ask how quickly they respond to calls, emails, questions, and requests. If you need an answer right away, will they be there? The right claim submission company will make sure you know you can trust them with submitting a claim and communicating with you about any issues.  Look for Relevant Experience If you have a specialty practice, you want to make sure the claims submission company you use has experience with that specialty. Some medical claims companies can handle multiple specialties and some focus on just a single area of practice. It's up to you to decide whether you want to go with a company that handles multiple fields or just one, but whoever you choose should have experience in your specialty area.  Ask About Rejected Claims Rejected claims are a huge problem for healthcare practices and it's reasonable to be skeptical about handing that responsibility over to someone else. Rejected claims can cause significant revenue loss and many medical billers fail to edit and resubmit claims that have been rejected. When you're considering a claim submission company, you need to ask them how they handle rejected claims. What is their process for resubmitting rejected claims? You should be able to trust your medical claims submission company to do everything they can to get you the money you deserve. You can even ask them about their rejection rate. A low rate of rejected claims is a good sign that they are coding and billing correctly. Research Reviews When you purchase any product or service, you should do some research to make sure you're making the right choice. When it comes to medical claim submission companies, you can learn a lot by looking online for reviews. Search for reviews from current and former clients to learn more about a company's reputation. You can even ask them directly for references and testimonials from happy clients. Do You Need Help With Claim Submission? If your practice is looking to outsource claim submission, you've come to the right place. When you outsource medical claims, you free up resources so you can focus on providing a better patient experience. You'll also reduce the risk of billing and coding errors and rejected claims.  EL Medical Billing Solutions is just a phone call away. Click here to contact us today for a consultation to learn more about what we can do for your practice.

Are you wondering how you can change your ways to make your practice run better? Check out these five ways to make your healthcare practice more efficient. A report in 2019 found that 44% of physicians had symptoms of burnout, and much of this was due to an inefficient workflow. To avoid this and make your healthcare practice efficient long-term, you need to focus on updating your technology and outsourcing some of your key processes. Keep reading this guide to learn five ways to make your medical practice operations run more efficiently! 1. Outsource Your Medical Billing and Coding Remember, your healthcare practice operations rely on efficient and accurate coding and billing of all medical claims. Medical coding can be time-consuming, complex, and expensive when you rely on in-house staff. Professional medical billing companies are experts and will ensure your claims are accurately submitted and provide countless benefits to your practice, including: Using certified professionals reduces medical billing errors It saves you money on maintaining billing software and supplies Improves your cash flow as there won't be interruptions due to staffing Improves your patient satisfaction as you'll have fewer billing issues Using professionals guarantees compliance with current coding regulations You'll also get detailed records and performance reports. As a result, you'll get an excellent overall picture of how your practice operates and better insights on how to make further improvements.  2. Invest in Secure Messaging Systems Secure communication systems can take your healthcare clinic to the next level. You can easily modernize services such as: Online appointment scheduling Automated appointment reminders Secure online prescription requests Your staff won't be overrun with constant phone calls, and thus will be able to focus on other tasks more efficiently. You'll also be able to delegate certain times to address the incoming messages you've gotten during the day.  3. Take Your New Patient Paperwork Process Online Your next step to efficiency is getting your new patient paperwork online. Having your patients fill out the paperwork when they arrive wastes time and delays your daily appointments. Even if only half of your patients go online to complete this paperwork, you're still saving time and money since you make your days more efficient overall. 4. Update Your Inventory Practices Keeping track of inventory needs can be a huge drain on the efficiency of your healthcare office. You likely have inventory in different exam rooms, storage closets, and your office area. This makes getting an accurate assessment of your inventory on hand not only difficult but a hassle for your employees, too. Once you switch to inventory management software, you'll get automatic alerts when your stock is low or expiring. It's an easy way to reduce unnecessary spending and boost productivity. 5. Invest In Employee Wellbeing Your employees make or break your medical practice, and team-building activities like weekly lunches are key to your practice's efficiency. It's also well worth the investment to give your employees a peaceful place to relax and re-energize during the day. Some quick ways to do this include: Bring old books and magazines  Have chairs or a sofa for lunchtime power naps Provide yoga mats for meditation Consider a diffuser with lavender to promote relaxation Have dim lighting so employees can rest Install a coffee station  You can also send out a survey to see what your employees would li

Revenue cycle management is a vital part of your office's success. Click here to learn how to hire the best revenue cycle management team for your practice. Considering that the revenue cycle management (RCM) industry grew to more than USD 126 billion in 2021, it makes sense that RCM teams should be high-quality. But what should you be looking for when hiring the best revenue cycle management team for you and your projects? There are many revenue cycle management team options to choose from, and some may be better than others, depending on what you're looking for. Keep reading and learn how to choose the best revenue management team for your needs. Team Structure Team structure is very important when choosing a revenue management team. Team structure has everything to do with the number of people in a revenue management team and how those members interact with each other. First, you should consider how many members you want your team to have.  Having too few members will render the team inefficient. On the other hand, having too many members could get cumbersome and expensive. Instead, you will want to find a happy medium of 6 to 10 members or so.  However, this number may be slightly larger or smaller depending on the volume of work you need to be done. Once you figure out what kind of team structure you want, it will be much easier to narrow down your team choices. Keep in mind that the individual experience and expertise of each team member are also important.  Some team members may be more skilled in certain fields than others. This variation is important to ensure that your revenue cycle management team can tackle all sorts of problems without being stunted. It will also ensure that your team is well-rounded and able to take on virtually anything you throw its way. Skills and Communication Without the right skills, a revenue cycle management team won't be able to accomplish much of anything. Before hiring anyone, you'll want to ensure that a given team has all the skills you're looking for. Otherwise, you might find that your team isn't measuring up to the expectations you had planned out.  In the same vein, you should make sure that your team is trained in the correct way. As long as the team is trained, the team members shouldn't have any trouble completing their usual tasks. Good training will also make sure that ordinary work flows smoothly and that there is little to no interruption between work tasks. Finally, you should consider the quality of communication before hiring a team. Communication is important for a variety of reasons. If team members can't communicate with each other, it will be very difficult for the team to complete a task even if they are all individually skilled.  It is also important for the team to communicate with you. That way, you can keep track of the productivity of the team and if the members are working as they're supposed to.  How To Hire a Great Revenue Cycle Management Team Hiring a revenue cycle management team isn't as hard as you might think, but there are a few factors you need to consider. For example, you should always make sure that the team has the right skills, good communication, and team structure.  To learn more, click here.

Are you wondering if a software consultation is worth it? Listen here for five advantages of getting a medical billing and coding software consultation. Medical billing and coding errors happen more often than you might think. In fact, 80 percent of medical bills contain errors. This leads to denied claims, missed payments, and unhappy patients. Medical billing and coding software is the best way to reduce the incidence of these costly errors. Keep reading to learn more about how your practice can benefit from a software consultation. 1. Increased Efficiency With medical billing and coding software, you can improve the efficiency of your operations. A software consultation is an opportunity to learn more about how you can cut down on paperwork and manual work and reduce the frequency of errors. Reducing the amount of paper your practice uses can save you time, money, and space. Storing documents electronically also increases security, which is important for medical practices that store patients' most sensitive data. If you haven't yet gone paperless, now is the time. 2. Better Claim Tracking Medical billing software makes it easier to track and process claims. Billing software allows you to easily review patient coverage and alerts you to claim denials. It can also help guide you through the process of resubmitting the claim and bring any coding errors to your attention. This can ensure you are providing accurate information to your patients and speed up the claims process. 3. Real-Time Reporting Medical billing software is a critical part of your practice management system. Your medical billing software should include tools to help you analyze your practice's performance. Are you using patient health records in a meaningful way? How can you improve the experience for your patients? What processes can you improve to increase efficiency in your operations? Medical billing software also allows you to generate reports on payments received to take a closer look at your profits and losses. Every business, no matter the industry, should make use of data reporting to learn more about what you are doing right and what you could be doing better. 4. Better Patient Care At the end of the day, your practice should strive to provide the best possible patient experience. Medical billing and coding software can help you do that by making things easier for your patients. Patients want to be able to make payments electronically and have easy access to information about their benefits and outstanding balances. Making the experience more convenient for your patients increases retention, which is critical in such a competitive industry. 5. Information is More Accessible Medical billing and coding software gives you more control over your patients' information and makes it easier to access that data. Information collected manually is more likely to contain errors and can be difficult to locate when you need it. When you can easily access the information you need and that information is accurate, you can process payments more quickly. Are You Interested in Learning More About Medical Billing and Coding Software? As you can see, your healthcare practice could benefit from medical billing and coding software. All you have to do is schedule a free consultation to learn more. EL Medical Billing Solutions is just a phone call away. Click here to contact us today.

Patient eligibility and benefits verification is the process to confirm your prospective patient insurance benefits for covered services. You would confirm information such as copayments, deductibles, coinsurances, and being in-network or out-of-network with that insurance company. 

Season 2 RCM- Patient Eligibility Sit back as we head into the next topic of patient eligibility. if done wrong this can disrupt your entire medical practice revenue cycle process. 

This is how you follow-up on your credentialing application with insurance payers. 

Detailed Credentialing application continued! 101-8 Here's what you will need. 

WAIT... DO NOT PURCHASE THAT SOFTWARE! Put together a transparent revenue cycle process that works for your medical practice needs!

Medical credentialing is the process by which healthcare Insurance companies review & authorize physicians and non-physicians to provide care services to insured members within their networks. The credentialing process verifies whether a physician is qualified to practice a specific specialty. Credentialing is considered the first step of the Revenue Cycle Management process since insurance companies will only pay claims from credentialed physicians.