A claim is often considered the most valuable source of data and information for a healthcare company or organization. All of the claims that are submitted to payors contain procedure information and diagnosis information to make the patients’ visit billable. But, what is a medical claim? In layman’s terms, this is a bill that a…
We talk about the Revenue Cycle, but what is it? It could, simply, be defined as the administrative and clinical functions that factor into the capture, management, and collection of patient service revenue. There you have it! Speaking normal English, it’s a fancy way of saying that this is a full view of the life…
This feels like such a BIG ask. It also makes us think of the entirety of the medical billing process. Every single piece of the puzzle, when laid out can seem like A LOT. If we break it down to adjusting a few intricacies that could make the process more seamless it would be: Transparency…
Three-quarters of hospitals say they are facing a hostile revenue cycle influence. Even though post-pandemic revenue and other financial metrics have begun to climb up, the cost of inflation and the skyrocketing expenses of managing medical care for patients is offsetting the majority of income. So, how do you get your practice to optimize your…
Why is my claim being denied? Well, actually there are a few reasons, but we’ll help with a brief list below: Incorrect or missing patient information. This is as simple as spelling the name Daniela and missing the letter “e”. Danila’s claim won’t be paid. This also has to do with the patient’s demographical and…
“America is a tune. It must be sung together.” A wise thought from Gerald Stanley Lee on Patriot Day. Let us all stand in chorus to sing the tune of freedom that is marked by the memory of those who sacrificed so much for us to be here today. #PatriotDay2022 #freedom
In the years between 1815 and 1915, the horse and buggy were the “it” way to get around town. Nowadays we use cars and pray that we’re not paying too much at the pump. Another modern marvel of the times we’re living in is that we can e-file our claims, making the entire process that…
Maya Angelou was a prolific writer who said it best, “Nothing will work unless you do.” This Labor Day the Gables Medical Billing team would like to wish you the joy of rest and relaxation.
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