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…
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…
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.
Visits from families to the pediatrician before their babies go back to school are going to be at the top of their checklist every school year. The local school district will likely ask for verification of the legal name and age of the student, as well as all pertinent health and immunization requirements to attend…
The school year is about to begin and we’re all on pins and needles, not just because it’s an exciting time full of new beginnings. The really exciting part is the before schoolyear doctor visits where everyone gets a flu shot and whatever vaccines are needed for their age group. The really exciting part, some…
What does “adjudication” mean? Adjudication is the process that the insurer uses to pay you for their client’s visit. During this process, they review the claim to either pay or deny it. What is the process? In this process, the insurer details the explanation, or reasons, for accepting, denying, or reducing the payment or deciding…
The process of running your billing has everyone who deals with numbers in your office all bent out of shape. It’s understandable, but you’re probably operating without a trusted and helpful medical billing partner that’s helping you with your battles. There’s a lot to the billing process that can be complicated. And having to do…
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