To receive payments for the services rendered, healthcare providers need to verify each patient's eligibility and benefits before the patient's visit.

Pre-authorization is the process of requesting prior authorization from the payer before the healthcare provider provides services to the patient.

Healthcare credentialing is the process by which a healthcare facility verifies the qualifications of prospective medical practitioners.

Engaging your patients should be standard practice in the healthcare sector. Your practice can maintain its highest level of performance and encourage health literacy if you have visibility into pa...

Revenue Cycle Management is critical to ensuring the profitability and long-term viability of healthcare organizations. The ability to collect revenue and use it to improve the quality of care prov...

As medical coding professionals know the quality of medical coding plays a big role in getting reimbursements from insurance companies. Medical coding is also essential for maintaining patient reco...

credentialing and privileging. Credentialing is the process of verifying competence through education, training, licensing, and work experience. Privileging is when a healthcare provider is given p...

The billing process in most urgent care clinics has some flaws. Clinics are currently so overburdened that the effects of these flaws are amplified throughout the revenue cycle.