Approved Admissions

A significant portion of patient insurance coverage may go unnoticed, leading to missed opportunities to collect additional revenue. The newest Approved Admissions Сoverage Discovery feature detects all active primary and secondary coverage, ensuring you can maximize the reimbursement. Curious to learn more details? Check out how our latest feature can help your practice: https://lnkd.in/gKkRRcG6 #MedicalBilling #InsuranceDiscovery #PatientInsurance #InsuranceVerification #Medicare #HealthcareSoftware

Transform your billing process with automated coverage tracking. Say goodbye to spreadsheets and other outdated, time-consuming tracking methods. Our solution ensures patient insurance data is always accurate and up-to-date, saving your staff time and reducing errors. Learn how Approved Admissions can benefit your team: https://lnkd.in/d3hpYvqU #MedicalBilling #Billing #BillingSolution #InsuranceCoverage #HealthcareTech #HealthcareSolutions

Streamline your revenue cycle and minimize administrative challenges by mastering insurance eligibility verification. Our recent article reveals six crucial benefits of getting it right. Whether it's speeding up admissions or reducing claim denials, these insights are a must-read for those looking to optimize their healthcare operations. Explore the full article here: https://lnkd.in/dqjFbbUg #EligibilityVerification #MedicalBilling #HealthcareSoftware #InsuranceVerification #HealthcareTech

On July 31, 2024, CMS announced a crucial update for skilled nursing facilities with the final 2025 PPS rule. Here are the key highlights you need to know: 🔹 Medicare Part A payments to SNFs will see a significant net increase of 4.2%, or approximately $1.4 billion. This boost is driven by a 3.0% market basket increase, a 1.7 percentage point forecast error adjustment, and a 0.5 percentage point productivity adjustment. 🔹 The SNF market basket will reflect the 2022 base year. CMS also updated the wage index using Core-Based Statistical Areas. These changes aim to improve payment accuracy and reflect current economic conditions. 🔹 Updates to the PDPM include changes to ICD-10 code mappings, allowing for more accurate and appropriate patient diagnoses during Part A SNF stays. 🔹 CMS will now impose more consistent civil monetary penalties for health and safety violations. This revision aims to ensure higher standards of care and prompt correction of deficiencies. 🔹 The SNF Quality Reporting Program will now include four new SDOH items and a revised transportation item, improving data collection and addressing adverse social conditions impacting health outcomes. The ultimate goal of the updates is to enhance the quality of SNF nationwide. For a detailed overview, check out the official CMS press release here: https://lnkd.in/e8rHN8nH #Healthcare #MedicalBilling #Medicare #MedicareUpdates #CMS #CMSUpdates

Medical billing teams must effectively manage coverage disenrollment to avoid claim denials and ensure patient care continuity. Our latest article provides essential guidance on handling Medicare disenrollment.   Gain insights into the key aspects of disenrollment, its impact on billing, and practical strategies for managing transitions here: https://lnkd.in/dxujSmQN   #MedicalBilling #Medicare #MedicareBilling #MedicarePartC #MedicareAdvantage #CoverageDisenrollment #MedicareDisenrollment

Enhancing the DME revenue cycle with the right technology is essential. Here are four key solutions transforming how DME companies manage their billing process. 🔸 Eligibility Verification Software: Real-time eligibility verification ensures that patients' insurance coverage is accurately confirmed before any equipment is dispatched, reducing the risk of claim denials. 🔸 Automated Prior Authorization Systems: This technology streamlines the process of obtaining necessary authorizations, ensuring that all required approvals are secured swiftly, preventing delays in billing. 🔸 Inventory Management Solutions: Such software helps track equipment levels, automate reordering, and ensure billing accurately matches the equipment dispatched. 🔸 Claim Management Tools: Help track claims from submission to reimbursement, providing real-time updates to resolve any issues quickly. Embrace these innovations to reduce errors and provide superior service to your patients. #DME #DMEBilling #DMESoftware #HealthcareTech #MedicalBilling #RevenueCycleManagement

Time is a precious resource, especially in healthcare. Approved Admissions software automates the tracking of insurance changes, eliminating the need for billers to check differences in coverage manually. This automation saves valuable time, allowing your team to focus on more critical tasks. Learn more about the benefits of our automation solution here: https://lnkd.in/d3hpYvqU #HealthcareSoftware #MedicalBilling #RevenueCycleManagement #RevenueCycle #HealthcareBilling

Patient policies frequently change, and the need for an efficient and reliable insurance verification process has never been more evident. Selecting the right insurance verification software for your practice can make all the difference in managing patient policies and streamlining the revenue cycle. An ideal solution simplifies eligibility verification and tracks insurance coverage changes. Our recent article aims to help you select the best eligibility software: https://lnkd.in/ddnVZM7V #HealthcareTech #HealthcareSoftware #MedicalBilling #InsuranveVerification #EligibilityVerification

Struggling to keep up with patient insurance coverage while managing multiple tasks? The Approved Admissions mobile app is here to help. With real-time access to verification of benefits, coverage change tracking, and MBI lookups, you can manage all this directly from your phone. Check eligibility and benefits from over 800 payers, including Medicare and Medicaid, and access completed verifications offline. Discover how the app can simplify your workflow: https://lnkd.in/dvDi-F9b #HealthcareTech #MobileApp #InsuranceVerification #HealthcareApp #BillingApp

Understanding medical billing and coding regulations is crucial for healthcare organizations to ensure proper payments. Here’s how they may affect your reimbursements: ✅ Accuracy in Coding: It is vital to use code sets like ICD, CPT, and HCPCS correctly. Mistakes in coding can lead to claim denials, as they may misrepresent the services provided. Precision is essential with PDPM components, which impact Medicare reimbursement rates for skilled nursing facilities. ✅ Modifier Use: Modifiers indicate changes to services or procedures. Proper use of modifiers can justify higher payment rates or clarify exceptional circumstances, preventing claim denials and ensuring correct reimbursement. ✅ Up-to-date Knowledge: Coding regulations are regularly updated. Staying current with these changes is essential because using outdated codes can result in claim denials and disrupt the billing cycle. ✅ Compliance with Payer Guidelines: Different insurers have specific guidelines. Familiarity with these guidelines is necessary to avoid errors that can affect billing and reimbursement. Knowing the requirements of HMO insurers like Aetna and Cigna helps maintain compliance and ensure smooth reimbursement processes. #Reimbursement #MedicalBilling #MedicalBillingReimbursement #HealthcareRevenue #HealthcareBilling