claims management healthcare

Tips for Claims Management for Healthcare

How much does your medical practice spend keeping up with medical claims and billing tasks? While these are critical administrative responsibilities, medical billing services don’t necessarily have to be maintained in-house.  The health care industry can be challenging to be in as it is a highly competitive marketplace. Medical practices cut costs wherever they can…

billing audit in Texas

Medical Billing Audit in Texas

There are many reasons to perform medical billing audits. Sometimes, insurers or other agencies may perform audits on the actions of health care providers. Most of the time, though, the most productive medical billing audits are the ones that health care providers perform on themselves. Auditing can uncover mistakes that can lead to fraudulent medical…

what are aged receivables

What Are Aged Receivables?

What are aged receivables services, and why do healthcare providers need them? Any healthcare provider will know that submitting a claim for medical services rendered is not always an efficient way to get sufficient reimbursement at a reasonable time. Whether it’s due to mistakes made by medical billing staff or problems experienced by the insurance…

verifying insurance benefits

Importance of Verifying Insurance Benefits

Why is the verification of benefits essential when it comes to medical claims? Successful billing and coding depend greatly on health insurance eligibility verification that’s both complete and prompt. Healthcare providers who want to improve internal processes and provide better care for patients should then prioritize this. Healthcare providers could face massive losses when claims…

consequences of inaccurate coding and incorrect billing

Consequences of Inaccurate Coding and Incorrect Billing

Why is the work of medical billing professionals so important? It has to do with the consequences of inaccurate coding and incorrect billing. Inaccurate coding and incorrect billing can cripple health provider businesses, so it’s essential that medical billing is always taken care of properly. The claims submitted by your medical billing department must always…

medical billing and coding services in Tennessee

Finding Medical Billing and Coding Services in Tennessee

Many healthcare providers outsource the services of medical billing professionals because balancing the provision of high-quality patient care with completing necessary administrative tasks can be challenging. If the balance isn’t kept, the risk is high that a healthcare facility’s reputation and revenue go down. Medical billing can take up a lot of time, and doing…

revenue cycle improvement

Tips for Revenue Cycle Improvement

Perhaps your healthcare facility needs to outsource or improve its revenue cycle management (RCM). While healthcare facilities of all kinds are well known for saving lives and treating their patients’ medical and mental health issues, they also need to develop successful policies and processes for staying financially healthy. That’s where revenue cycle management comes in.…

what is utilization management

What Is Utilization Management?

Does your healthcare facility need to outsource or improve its utilization management (UM) services? Utilization management in healthcare can be a complex process that helps enhance the quality of healthcare and reduce costs. In general, UM, especially if it’s practiced by as many healthcare facilities as possible, also improves the population’s overall health. Efficient UM…

growing your practice

Helpful Tips for Growing Your Practice

The medical industry has never been more competitive than it is today. Our modern health care system is complex, and learning new techniques for growing your practice can feel daunting. CodeMax has a proven track record of successfully assisting clients with medical practice management. Our consulting services can help you navigate medical billing and create…

revenue cycle management

Understanding Revenue Cycle Management

The revenue cycle begins with billable charges and ends with service reviews. When we talk about the revenue cycle, we mean the specific steps that make up the billing process. Revenue Cycle Management (RCM) is a process of examining your workflow to determine ways it might be possible to reduce the amount of time between…