Back to basics for today's blog about Medical Billing and what it is and entails. Go to the link to find out more.
A claim is often considered the most valuable source of data and information for a healthcare company or organization. All of the claims that are submitted to payors contain procedure information and diagnosis information to make the patients’ visit billable. But, what is a medical claim? In layma...
09/30/2022
We're discussing the revenue cycle on our blog. Go to the link to find out about the common bleeding points you can avoid to better your revenue cycle.
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...
09/28/2022
We have a few ideas that could help you improve your revenue cycle management, coming to our fantastic team of medical billing experts is just step one. Read more by going to the link.
This feels like such a BIG ask. It also makes us think of the entirety of the medical billing process. Every single piece of the puzzle, when laid out can seem like A LOT. If we break it down to adjusting a few intricacies that could make the process more seamless it would be: Transparency...
09/22/2022
Strategizing to optimize your revenue cycle management and your payment postings is something our Gables Medical Billing team members are experts at. We have a few tips that might help you with this at the link.
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,...
09/20/2022
Find out about a few ways to prevent billing and coding errors, and how working with our team of medical billing specialists is the best move for your practice's revenue cycle management.
Gables Medical Billing has adapted to the ever-changing medical billing environment, modifying and adding to its services to proactively meet the needs of its clients.
09/15/2022
Coming to Gables Medical Billing to take control of your revenue cycle management is the easiest way to prevent medical billing errors, but we've put together a few more at the link.
Gables Medical Billing has adapted to the ever-changing medical billing environment, modifying and adding to its services to proactively meet the needs of its clients.
09/13/2022
A few common billing errors that working with Gables Medical Billing's team of billers can avoid are at the link.
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 pati...
09/11/2022
"America is a tune. It must be sung together." A wise thought from Gerald Stanley Lee on Patriot Day. Let us all stand in chorus to sing the tune of freedom that is marked by the memory of those who sacrificed so much for us to be here today.
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...
09/05/2022
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.
09/02/2022
Ophthalmology billing can be a mouth-full to say, the billing's just as complex in some cases. We work with your team to alleviate the pressure of your revenue cycle, find out more at the link.
Other than making the case for “Hooked on Phonics” in a way that only a word with so many twists and turns could. Ophthalmology billing is tricky because you have “eye codes” and “evaluation and management codes”. While this does make billing for this specialty more flexible, it also add...
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The number one challenge in today’s practice environment is revenue. Gables Medical Billing offers a centralized option for medical providers to address revenue concerns and other recoupment issues. As a division of Gables Insurance Recovery, our diverse experience is used to recover denied and underpaid benefits for over a decade. Our team will:
· Verify eligibility
· Policy review
· Review contracts and fee service agreements
· Review records
· Code Claims
· Submit Claims
· Review Explanations of Benefits
· Post payment
· Ensure appropriateness of payment
· Provide revenue reports
In the event of a denial, we will appeal denied or underpaid claims and ensure that all administrative remedies are exhausted. In the wake of persistent denials of a valid claim, we can also implement legal methodologies to initiate legal action and pursue the claim through enforcement of the contract and/or insurance policy benefits.