With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO's sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
Pathology is a special branch in healthcare, dealing with the study of diseases, particularly through the examination of organs, tissues, and bodily fluids. It plays a critical role in diagnosing and managing various medical conditions, thus following the correct guidelines for accurate coding and billing procedures are essential for proper reimbursement. But how to ensure […]
In the complex world of healthcare, the way services are billed and reimbursed plays a crucial role in shaping both patient care and healthcare provider administrative operations. One of the most traditional and widely used payment models is fee-for-service (FFS). While healthcare is continuously evolving with newer payment methods being introduced, FFS remains a dominant […]
In medical billing, keeping track of how quickly payments are collected is vital for maintaining a healthy cash flow. One key measure can reveal the efficiency of this process – directly affecting your practice’s financial health and stability. So, what is AR days in medical billing, and how can you measure it? Ahead, you’ll understand […]
In the complex world of medical billing, receiving accurate reimbursement is crucial for healthcare providers’ financial status. However, healthcare organizations often face challenges that disrupt this process, leading to shortfalls. One of the most common issues is underpayment, where providers receive less than what is expected or owed for the services rendered. But what is […]
Health insurance plays a vital role in covering medical expenses, ensuring individuals are protected from the high costs of healthcare services. It can cover everything from simple hospital visits and routine checkups to maintaining your health and treating illnesses or injuries. Most people rely only on one health insurance as their main form of coverage, […]
Insurance policy renewal is crucial for ensuring continuous protection against various risks. By renewing a policy, the insured maintains uninterrupted coverage, while insurers gain the opportunity to reassess the terms to reflect any changes in risk or market conditions. But what is renewal in insurance, exactly? Why is it important? We know that navigating the […]
Property and casualty (P&C) insurance plays a crucial role in protecting both assets and liabilities for individuals and businesses. While some of you may briefly came across P&C insurance and know that it offers financial security in the face of accidents, damages, or legal claims, not everyone knows what is property and casualty insurance in […]
In today’s healthcare landscape, having more than one health insurance plan is a viable option for some individuals. Dual health insurance allows you to combine the benefits of two plans, offering improved coverage and greater flexibility. While people may opt for this approach to minimize out-of-pocket costs, access a broader network of healthcare providers, or […]
The Health Insurance Portability and Accountability Act (HIPAA) was established to protect sensitive patient information and ensure that healthcare providers handle this information very carefully. While primarily known for its role in protecting patient data, HIPAA also gives patients certain rights over their health information. As a trusted outsourcing medical billing service provider, we strictly […]
In an increasingly digital healthcare landscape, EFT (Electronic Funds Transfer) is playing a crucial role in transforming payment processes. As medical billing continues to evolve, understanding EFT and its impact has become essential for healthcare providers and billing professionals looking to stay competitive in this fast-changing environment. With the need for increased efficiency and cost […]
Pathology billing is one of the most complex and vital medical billing processes, crucial to maintaining the financial stability of healthcare organizations. Ensuring accurate billing guarantees that healthcare providers are properly compensated for their services. As a provider of pathology billing services, we understand the challenges this process presents and the importance of optimizing it […]
Understanding overpayments in medical billing is crucial for healthcare providers and billing professionals because they directly impact a practice’s financial health. Overpayments can lead to complex compliance issues, disrupt cash flow, and require time-consuming resolutions that could be avoided with proper billing practices. With a clear understanding of overpayments, providers can better navigate the financial […]
People dealing with medical billing come across the term recoupment from time to time. Understanding what is recoupment in medical billing is a key factor for maintaining healthy financial stability. Recoupment significantly affects the entire practice’s revenue stream but, at the same time, helps with preventing financial discrepancies and safeguarding the healthcare payment system from […]
Efficiently handling medical billing is often a struggle for many professionals, especially in specialized sectors like psychiatry. Documenting the services rendered in this field is more challenging than in other sectors, increasing denials and delays in reimbursement. By utilizing our psychiatry medical billing services, providers can streamline their billing processes and reduce the risk of […]
Gastroenterologists often face daunting challenges in medical billing that have the potential to compromise the financial stability of healthcare organizations and impact revenue cycles. However, with the right approach and several effective strategies, medical billing becomes a manageable task that ensures full compliance and compensation. By leveraging our specialized gastroenterology medical billing services, healthcare providers […]
Medical billing can be challenging for healthcare providers. To assist you in navigating the complexities of obstetrics and gynecology revenue cycle management, we have gathered all the OB GYN billing guidelines in one place. Implementing effective billing practices in OB-GYN healthcare settings is crucial for maximizing revenue and ensuring financial stability. As medical billing experts, […]
Medical billing presents a complex landscape of insurance coverage and payer specifications that may confuse patients and healthcare providers. One especially challenging area is patient responsibility. But what is patient responsibility in medical billing, and how does it impact individuals’ financial obligations for healthcare services? We’ll explain what patient responsibility entails and its significance in […]
Navigating the health insurance system is a fundamental skill for all healthcare providers. You must have a comprehensive understanding of the claim submission process to ensure proper reimbursement and minimize unexpected expenses for your patients. While it may be a complex procedure, with our help, you can easily learn how to submit a health insurance […]
Specializing in children’s health is a rewarding profession itself, but it must also be financially compensated. Following the latest pediatric billing guidelines ensures the financial stability of your practice, efficient revenue management, and compliance with the latest laws and regulations. With proper adherence, you can mitigate the risk of audits financial penalties, and legal repercussions […]
Medical billing is a vital component of healthcare operations that guarantees providers with proper reimbursement for services rendered. However, billing becomes particularly difficult for specialized medical branches like oncology practices. Many providers struggle to grasp the comprehensive and complex system of billing oncology services due to the vast amount of specified coding and diverse compliance […]
In today’s era, the insurance sector serves as a cornerstone of global finance, collectively managing trillions of dollars in assets and catering to billions of policyholders worldwide. With digitalization, this dynamic industry cannot adequately function without ensuring the accuracy and integrity of its financial records, making reconciliation an indispensable tool for success and validity within […]
Oncology billing is a specialized branch of medical billing that focuses on the complexities of billing for cancer treatments and services. But what is oncology billing in detail, and what does it involve? Navigating the complexities of oncology billing requires a deep understanding of both medical terminology and the ever-evolving regulations governing healthcare reimbursements. Additionally, […]
Healthcare organizations often face medical billing challenges that impact their revenue cycle and overall operations, particularly in specified sectors like the cardiology branch. You must implement several strategies and solutions to ensure financial health and regulation compliance. To help you maximize reimbursement, we have created cardiology billing guidelines. We will elaborate on the importance of […]
Internal medicine is a critical aspect of every healthcare institution. It is a wide specialty that has the potential to generate a big revenue. For that, your healthcare facility must have an excellent internal medicine billing team. But what is internal medicine billing and why is it so important for all healthcare facilities offering such […]
Within the complex healthcare reimbursement landscape, ophthalmology billing is an intricate sector that presents unique challenges, distinctive to its medical branch. While providers struggle with optimizing revenue and billing operations, ensuring financial health requires comprehensive strategies and proactive solutions tailored to your department. That’s why, we’ve listed several ophthalmology billing guidelines to help you reach […]
Since the healthcare industry is responsible for real-life patient information and care, it must follow some of the most complex regulatory guidelines and practices. These rules and regulations are set in place to protect the patient’s private data and ensure their safety. That’s why, in this article, we’ll elaborate on the most important pathology billing […]
Neurology practices heavily rely on their ability to perform successful revenue cycle management (RCM) in the ever-evolving healthcare landscape. As it directly affects your financial integrity, you must implement effective strategies and solutions to overcome billing obstacles and ensure compliance with regulations. However, as many providers struggle with optimizing revenue processes, we’ve created neurology billing […]
We know for a fact that pain can take a toll on a patient’s quality of life and lead to higher medical bills. For that reason, as a healthcare provider, you need to ensure the patient gets the proper care for their condition while navigating the complexities involved in the medical billing process. For that […]
Billing mistakes are prevalent in medical billing, especially in specialized sectors like psychiatry, where the complexity of services increases the likelihood of errors. They can significantly impact an organization’s revenue. It can lead to claim denials, delayed payments, and potential audits, identifying and promptly addressing psychiatry billing mistakes– factors critical for maintaining financial stability and […]
A crucial component of streamlined revenue for physical therapy providers is accurate billing. Like any other medical billing process, physical therapy strongly relies on matching the standardized codes for the services rendered to better understand the treatment received and how much money a patient owes to the healthcare provider. Although physical therapy billing can be […]
Any comprehensive compensation package must now include employee benefits to meet the expectations of top talent, providing their employees with essential financial protection and support. This has become a fundamental part of workplace compensation, ensuring your staff has access to vital coverage and insurance. But what is employee benefits insurance, and what coverage options can […]
To keep an optometry practice running smoothly, you need excellent patient care and efficient revenue cycle management. While patient care is your area of expertise, we can ensure you get properly reimbursed for the services you provide. For financial stability, compliance with regulations, and timely payment from insurance companies and patients, you must adhere to […]
Every year, new codes and billing regulations are released that nephrology practices must adhere to. The nephrology billing and coding guidelines are created to ensure compliance with regulations and the financial stability of the healthcare organization. To streamline your nephrology practice’s billing and coding, you should be familiar with the key components of the processes […]
The insurance industry is responsible for various types of documents regarding insurance policies and coverages. They often need to provide their insurers with proof of their insurance details and explain what their coverage plans offer. That’s why, in this article, we want to elaborate on what are Certificates of Insurance, and how they affect various […]
Plastic surgery billing is perhaps one of the trickiest processes in healthcare revenue cycle management. It requires extensive knowledge and experience so the claim can be submitted to the right payor. Following plastic surgery billing guidelines is essential for timely reimbursement, avoiding rejected claims, and staying compliant with the latest government and policy regulations. The […]
Within the complex landscape of medical billing, understanding and effectively managing denial trends is crucial for optimizing financial health and integrity. However, billing processes pose a significant challenge for providers due to the complexity of their administrative operations, especially in specialized sectors like urology practices. Thus, mitigating such issues may be daunting without proper guidance […]
Within the healthcare sector, podiatry billing faces numerous challenges in its billing operation. Medical coders need to meet with specific podiatry billing guidelines to receive the appropriate reimbursement from the insurance companies. By implementing the best practices in podiatry billing, you can ensure accurate, complete adherence to standards as well as increased reimbursement and financial […]
Medical billing regulations are constantly changing. As a dermatological practice, it is your responsibility to ensure your medical billing is in accordance with the latest dermatology billing guidelines. Adapting to the latest dermatology regulations is crucial for accurate reimbursement and compliance. Considering the evolving nature of dermatology billing practices, we thought it would be a […]
Medical billing is a vital part of any healthcare organization. It ensures timely payments and one such process is radiology billing, focusing on radiology services. Yet, many healthcare providers get disheartened when optimizing this process due to recurring claim denials. So, what is radiology billing? How do you solve its most common denials? In this […]
Healthcare organizations often face challenges comprehending the key concepts and processes of endocrinology medical billing. Due to the complexity of coding systems and ever-evolving compliance regulations, compromised cash flow and reimbursement are common issues for many providers. So, understanding what is endocrinology billing and implementing effective strategies and solutions to overcome billing obstacles is critical […]
Behavioral health is an evolving field that is becoming increasingly important and recognized in the healthcare industry. Although quite complex, many behavioral health services are now accepted among healthcare providers. In this comprehensive post, we will dive into what is behavioral health in medical billing to explain how it works and what it covers. Understanding […]
One of the gastroenterologists’ most common challenges during billing procedures is properly creating and submitting claims. Due to the unique complexity, providers must implement effective strategies and solutions to overcome billing obstacles and ensure compliance with regulations. This is why we have created gastroenterology billing guidelines to assist you in achieving financial stability. We will […]
All healthcare facilities must comply with certain standards regardless of whether they are individual entities or organizations. One of the regulatory standards is for healthcare providers to have an NPI. But what is an NPI number? As experts in the healthcare industry, we created a comprehensive guide on the meaning and importance of NPI numbers […]
Optimizing your medical billing process is one of the most complex parts of running a healthcare organization. While providing high-quality patient care should always be your priority, ensuring that you get reimbursed for the services you provide is essential for your financial stability. However, although you’ve developed and implemented effective strategies to improve your claim […]
Administrative dermatology practices stand out for their unique medical billing and coding guidelines, which are tailored to the specialty and reflect its various services. Yet, these specifications can be challenging due to their complexity and the sheer volume of codes. Dermatology requires medical and surgical aspects, so it necessitates a comprehensive understanding of the most […]
The healthcare industry is broad, and patients often get confused about the costs of the services they get and what their insurance covers. That is why two Yale School of Public Health professors developed a DRG project that helps patients, healthcare providers, and insurance companies. But what is DRG in healthcare actually? Continue reading to […]
The mediator’s role is crucial for many processes in different industries. In healthcare and medical billing, clearinghouses act as medical intermediaries between the medical provider and the payer. But what is a clearinghouse in medical billing exactly, and why are they important? Although using a clearinghouse in medical billing is not mandatory, there are many […]
Have you heard the term ‘deductible’ but still struggle to understand what it actually means and why it is commonly used in healthcare? If so, you’re not alone. Deductible is a fundamental concept for understanding financial consideration and responsibility. Exploring deductibles is paramount for both healthcare providers and patients as it directly impacts financial stability […]
The healthcare industry is a highly regulated field because it deals with the safety and well-being of patients. To ensure medical facilities offer the best patient care and high-quality services, regulatory bodies have set high standards these organizations must meet, like patient registration. To assist in meeting these standards, we provide specialized medical billing services […]
Besides patient care and well-being, the healthcare industry is responsible for numerous regulatory and business operations. While regulatory compliance is essential for legally operating your facility, these tasks are also important for effectively managing your revenue cycle. One such operation is documenting the services you’ve offered to the patients. So, what is charge capture in […]
Some of the most common challenges within the healthcare industry are related to the dreaded medical billing denials. Denials can lead to delayed payments and increased administrative burdens. That’s why, in this article, we want to cover the top 10 denials in medical billing and provide strategies for mitigating them. AR Denials in Medical Billing […]
Healthcare organizations must ensure proper medical billing and claim submissions to get reimbursed for the services provided. Once the claims have been submitted, the insurance company has to review them and decide whether to approve or deny them. That’s why, in this article, we’ll elaborate on the claim adjudication process in healthcare and its impact […]
A healthcare organization’s revenue cycle management includes several phases, one of which is medical billing. The process involves creating, submitting, and following up on claims so your organization can compensate for your services. But what is orthopedic billing? With our direct involvement in the industry and providing orthopedic medical billing services to several healthcare practices, […]
The healthcare industry has always been one of the most complex sectors for business operations. It requires the utmost attention to detail and knowledge to ensure your facility operates legally and without setbacks. One of the most challenging aspects of running a healthcare organization is proficiency in medical billing and coding, which plays a vital […]
In the past years, the healthcare industry has become more complex than we know it. Worse yet, organizations constantly face increasing pressure to deal with changes in policies and regulations. To effectively manage and navigate claim processing, organizations try to employ more efficient processing methods. That’s why it is important to understand what is claims […]
Medical billing is one of the most complex and vital processes within the healthcare industry. It ensures that healthcare providers get paid for their services, greatly impacting the medical facility’s revenue cycle. Since a healthcare organization can include various specialties, many wonder if there are specific billing practices based on these medical fields. So, what […]
Efficiency and accuracy in chiropractic billing ensure financial stability and overall success. Yet, optimization is essential for maximizing revenue generation in a landscape characterized by complex billing codes and ever-evolving insurance regulations and policies. Hence, we’ve listed some of the most useful chiropractic billing tips and strategies to enhance the efficiency and accuracy of billing […]
Healthcare organizations often face claim denials that impact their revenue cycle and overall operations. To ensure compliance with regulations and financial stability, you must implement denial management tactics and solutions that address the most common denial reasons. One commonly occurring issue we’ve noticed healthcare facilities struggle with is the dreaded medical necessity denial. That’s why […]
Healthcare providers face numerous challenges in optimizing their revenue cycle management (RCM) operations, from navigating complex billing and coding procedures to adapting to ever-evolving regulatory requirements. These complexities can significantly impact the financial health of health organizations, leading to revenue leakage and processing inefficiencies. However, revenue cycle analytics emerge as invaluable tools in overcoming these […]
Understanding timely filing and adhering to timely filing limitations in medical billing set forth by insurers are critical priorities for healthcare providers to ensure timely reimbursement and minimize claim denials. However, despite their importance, many organizations struggle with tracking and managing these deadlines due to the associated complexity of insurance regulations and varying requirements across […]
Denied claims and appeals are common things in medical billing. Hence, healthcare providers and patients should understand such terms to contribute to fair reimbursement and better revenue management. So, what is an appeal in medical billing? As medical billers, we’ve decided to simplify the appeals process. Our comprehensive guide will explain the basis of appeals […]
In today’s dynamic healthcare industry, many organizations face a common challenge with claim denials due to various reasons, whether coding errors, insufficient documentation, or coverage limitations. Denial management is crucial for addressing these issues and minimizing revenue leakage. Luckily, with our medical billing services, including specialized denial management, there’s a standardized approach to facilitating communication […]
With an increasing prevalence of individuals carrying multiple insurance plans, providers must grapple with coordinating claims and determining primary versus secondary payers accurately. This trend introduces new and growing intricacies for healthcare providers in billing processes and reimbursement, requiring the adaptation of robust strategies to ensure proper management. This is where coordination of benefits (COB) […]
Regulations and standards are crucial across all industries to ensure proper operations, safety, and quality. And healthcare is no exception. Healthcare providers must adhere to several strict guidelines and laws to safeguard patients and maintain trust. But what are these strict regulations, and what is compliance in healthcare? Below, you’ll learn everything you need to […]
Healthcare providers must have effective revenue cycle management (RCM) strategies to efficiently manage the financial aspect of patient care. Implementing proactive and innovative solutions to overcome RCM obstacles is critical for any clinic. So, what are some of the most effective revenue cycle management strategies for improved revenue? Many organizations struggle to navigate through the […]
In the fast-paced healthcare environment, where patient care and outcomes take center stage, it might be easy to overlook the crucial significance of financial management. However, failing to manage the financial aspect within your healthcare organization effectively may jeopardize the viability and sustainability of your company. That’s why ensuring optimum revenue cycle management (RCM) with […]
Effective revenue cycle management is essential for financial stability and operational efficiency in today’s healthcare environment. While the healthcare landscape constantly changes, navigating common complexities and intricacies can be challenging for many organizations. Optimizing financial outcomes requires a deep understanding of RCM processes. But do you know how to improve revenue cycle management? Below, you’ll […]
Electronic claims are a modern method of submitting healthcare claims digitally, playing a pivotal role in revolutionizing healthcare administration by replacing paper-based systems with efficient electronic processes. Harnessing the power of electronic data systems, healthcare providers can seamlessly, securely, and accurately transmit medical claims, facilitating smoother experiences between providers, insurers, and patients. But, beyond their […]
Efficiently handling medical claims is a fundamental aspect for anyone running a healthcare institution, as it directly impacts the financial viability and operation of the facility. They ensure timely reimbursement for provided services, allowing providers to sustain operations and deliver quality patient care. However, the claim adjudication process plays a vital role as a key […]
Having payment mechanisms that ensure continuity and accessibility of medical care while incentivizing innovation and quality is essential for fostering a sustainable and effective healthcare dynamic. That’s why reimbursement plans are designed. They’re vital systems that support and enhance healthcare delivery while also providing affordable access to medical care for patients. But why is healthcare […]
The medical billing process of your healthcare facility should aim toward maximizing the revenue of your practice by using the right strategies. One of the most challenging steps is creating a seamless claim submission process in medical billing. Understanding the claim submission process contributes to better healthcare revenue cycle management. As experienced medical billers, we […]
Healthcare facilities are opened to provide patients with medical services, but also to generate cash flow. Reports are key indicators of how financially successful your organization is. One of the most important is the insurance aging report. In the revenue cycle management of every healthcare provider, big or small, understanding how to read and interpret […]
The management of accounts receivable should be done by an experienced team. The best medical billers are able to find fast solutions to the most common challenges with AR so your organization doesn’t face financial loss consequences. By being familiar with the top 10 AR scenarios in medical billing, you will minimize the risk of […]
The healthcare and insurance industries are highly regulated fields that require a thorough understanding of operational processes. Bearing the responsibility for the lives and well-being of patients, failing to comply with the strict standards might have devastating repercussions. So, what is claim processing in healthcare, and how does it affect your overall business operations? In […]
Insurance verification is a vital part of the medical billing sector. It allows healthcare providers to confirm their patients’ insurance coverage and benefits. So, why is insurance verification important in the healthcare industry? Our partnership with healthcare brands and organizations provides us with expert knowledge on the importance of this step in medical billing. Read […]
In the intricate landscape of healthcare reimbursement, the CMS plays a vital role in setting standards and regulations. However, the diverse CMS forms are core elements within this regulatory framework, documenting claims and seeking reimbursement for medical services. But what is CMS 1500 in medical billing, and what makes it so important? Below, you’ll learn […]
Have you ever received a document from your insurance company after you visited the doctor? Was it filled with codes and unfamiliar terms? That is likely an Explanation of Benefits. Now, you may wonder – what is EOB in medical billing? Such documents play a critical role in the healthcare reimbursement process. At CLICKVISION BPO, […]
Ensuring the insurance claims are processed and reimbursements received promptly is critical for healthcare delivery. Yet, one hurdle can disrupt this flow like payer rejection, causing delays and administrative burdens. What is payer rejection in medical billing? Understanding the concept of payer rejection is crucial for navigating the healthcare revenue system cycle effectively. Hence, as […]
Having complete and accurate provider data is a paramount building block for every healthcare organization. Yet, many medical clinics struggle with the upkeep and maintenance of this comprehensive data due to the complexity and volume of documentation, highlighting the significance of proper provider data management. But what is provider data management? In this article, we’ll […]
Healthcare providers or organizations require adequate compensation for the services they provide. One way to ensure this is through claim submission. But what is claim submission in medical billing? Read on as we explore the importance of the claim submission process in the healthcare revenue cycle. What Is a Claim in Medical Billing? The bill […]
Running a healthcare organization is not all about providing high-quality patient care. Each healthcare facility has a lot of financial and administrative work. Luckily, with electronic health care transactions, the administrative work is simplified. One of the ways to increase operational efficiency, accuracy and quality is by utilizing Electronic Remittance Advice or ERA. But what […]
As managers or stakeholders in a healthcare facility, one of your priorities must be ensuring the organization has enough revenue so it can run smoothly and provide patients with high-quality care. If you are looking at documents regarding financial health and operational efficiency, you will notice AR in the reports. So, what is AR in […]
The healthcare industry is already a complex sector with various services and specialties, and adding medical billing to the equation makes things even more challenging. One contentious point in healthcare is denials in medical billing. Luckily, with companies like CLICKVISION BPO, healthcare providers may focus on providing care for their patients while we deal with […]
