Revenue Cycle Management Healthcare

  While your ultimate mission as a physical therapist is to improve your patients’ quality of life, the financial sustainability of your clinic is equally significant. One of the primary challenges faced by physical therapy clinics is not a shortage of patients or billable sessions, but rather the prevalence of billing errors. An area that proves to be particularly troublesome in physical therapy billing is accurately determining the fees charged to patients. When insurance companies perceive that sessions have been billed erroneously or unnecessarily, it leads to delays in claims processing. To address this issue, the American Medical Association ( AMA ) introduced the Current Procedural Terminology (CPT) codes. These CPT codes play a pivotal role in ensuring the accurate processing of health insurance claims for physical therapy clinics. However, it’s crucial to grasp the correct utilization of each code. Misapplying these codes can result in complications during insurance claims...

  It’s time to overhaul outdated practices and take a proactive stance in preventing denials, minimizing bad debt, and safeguarding your revenue. Embrace a comprehensive five-step strategy, supercharged with intelligent automation, to uncover denial pain points and fortify your revenue cycle. This approach also streamlines patient access, elevating both staff and patient satisfaction. 1. Unlocking Denial Insights: To conquer denials, it’s vital to decipher their origins and frequencies. Dive into a thorough analysis of your 837/835 claims and payer remit data, ensuring it aligns with your local demographics and payer profiles. This granular understanding helps pinpoint where denials are costing your revenue the most. 2. Data Precision: The foundation of revenue success lies in precise data. Ensure registrations are flawless to enhance financial performance and maintain a steady cash flow. Harness technology to conduct quality assurance audits on 100% of patient accounts, flagging v...

Anemia isn’t a one-size-fits-all diagnosis; it comes in various forms, each with its own underlying cause. Some cases are transient, while others become chronic, and the severity can vary significantly. Left untreated, anemia can give rise to serious health complications, ranging from pregnancy-related issues to profound fatigue, heart complications, and in severe instances, even mortality. Treating anemia encompasses a spectrum of approaches, from simple supplementation with medication to more complex medical procedures. The condition generally arises from one of three key factors: a reduced ability of the body to generate new red blood cells or hemoglobin, an upswing in blood loss typically stemming from bleeding, or an underlying illness triggering accelerated destruction of red blood cells. However, accurately documenting the different types of anemia for claim submission and reimbursement hinges on a deep understanding of the intricate world of medical billing and coding guideline...

  FOR IMMEDIATE RELEASE: 4th OCT 2023 (Dallas, Texas) QWay announces a new agreement with a large healthcare provider in the southwest using EPIC to provide Mobile Workforces Services. “The continued commitment by EPIC Healthcare clients around the United States shows QWay experience and expertise in EPIC as the strategic partner for Mobile Workforce services in the world,” note Harish Kannan — COO/Cofounder of QWay Healthcare. “QWay continues to invest in the EPIC space by bringing on more qualified EPIC experts to bring a huge benefit to the EPIC market. We are looking forward to being the number one supplier of mobile workforces’ services for decades to come.” About QWay: QWay Healthcare is a leading provider of a certified mobile workforce that meets the unique revenue cycle management needs and challenges of healthcare providers across the United States with 13 years of experience and over 1100+ employees. With over 43+ billing systems and specialties, QWay aims to administer ...