While effective communication, collaboration, and educated professionals are all essential to the success of the ICD-10 auditing process, insufficient identification of clinical and coding issues can place recovery audits and healthcare processes at risk. As hospitals and health systems must maintain accurate coding assignments to optimize reimbursements, it will also further reflect quality patient services […]
Every business must track and obtain their account receivables, or A/R, during the medical billing process. An account receivable is the amount a customer owes to a certain business once its services have been rendered and billed. This is an extremely important business aspect behind medical institutions such as hospitals, clinics, and private practices. A […]
To determine and identify whether patients are at-risk of malnutrition, healthcare physicians and medical coders must have an efficient way of communicating all patient documentation and treatments to one another. In our most recent Webinar Roundup: Malnutrition At-A-Glance Coding and Denials, Marie Thomas, ECLAT Senior Director, Coding and HIM Operations, Evelyn Santos, ECLAT Coding and Audit […]
Understanding the medical coding delivery model that works best for your organization is key to optimizing your revenue. There are two main types of medical coding delivery models—domestic and offshore—both of which have their own advantages and disadvantages. That is why ECLAT Health Solutions is one of the few medical coding companies offering equally exceptional […]
Medical billing is such a vast and convoluted process that many healthcare providers have begun outsourcing medical billing companies for extra support. Hiring professional billers to act as an extension of your team is one of the many medical billing solutions that has improved the quality of the overall healthcare experience. Any inefficiencies may be […]
The healthcare experience can vary from patient to patient as there is so much involved beginning from the first point of contact with the patient to when the patient receives their medical bill. Experienced offshore medical coding specialists provide accurate coding and quality documentation services every day, which in turn allows patients to have a […]
There are many factors that drive the increase of claim denials in the healthcare management system. Whether the provider or payer is at fault, it is understandable that denials occur because of how complex the medical coding and billing system is. Providers must work closely with their in-house or outsourced medical coding professionals to ensure […]
Many healthcare facilities utilize a hospital charge description master, or hospital chargemaster (CDM), for billing patients and health insurance companies. When a chargemaster isn’t performing as it should, it negatively affects the overall healthcare experience. Accurate coding is important and must be documented precisely as it represents every healthcare service provided to the patient. Due […]
Maintaining a healthy revenue cycle management process and medical coding and billing management system is no easy task to take on your own. Depending on healthcare providers and organizations budgeting needs, they can choose to train their in-house staff to medically code or outsource instead. Both options have their advantages and disadvantages, but with a […]
Revenue cycle management (RCM) is a technological tool used for both administrative tasks and clinical functions to record and organize patient claims including collected claim payments as well as denials. If this system isn’t running efficiently, then it could lead to inaccurate medical billing, which can tarnish a patient’s healthcare experience. A healthy medical […]