Imagine Blog

A Beginner’s Guide to Electronic Claims Processing

Innovations like electronic claims and electronic healthcare records are the start of a revolution in healthcare; one that promises to dramatically simplify the way billing offices, practices and hospitals get paid. In this article, we will cover a brief definition of electronic claims, why they are important to the medical billing industry, and ways you can adopt this new technology for the betterment of your patients and your practice. Reduce…
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Using Patient Billing Software to Drive Better Patient/Provider Connection

For those that follow healthcare closely, there isn’t a week that goes by that the conversation around the shift in patient responsibility doesn’t come up and with good reason. In 2018 the average deductible was north of $1,500 and growing. Imagine a future in which consumers are empowered with more options for managing their healthcare costs.   Generally, when you hear these stats they are all focused on one conclusion:…
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5 Best Practices for Healthcare Revenue Cycle Management

Some businesses don’t realize how much cash flow is available in their balance sheets. It’s important for providers to periodically review their organization’s revenue cycle for any inefficiencies or improvements that may be holding the company back from growing. You can eliminate manual data entry errors and reduce transaction times by automating processes. However simply cutting costs is not enough to build a successful practice. Creating a positive patient experience…
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Why Your Practice Should Eliminate Paper from the Revenue Cycle

“According to a Harvard University economist, the total savings of switching to electronic medical billing is estimated at approximately $32 billion annually.” “86% of consumers receive paper medical bills, 88% of providers report receiving paper checks and Explanation of Payment (EOPs) from one or more of their payers, and 85% of providers prefer ERA/EFT payments.” “On average, providers lose $40,000 for every 100 claims that are reworked.” Did reading these…
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A Beginner's Guide to Robotic Process Automation for Medical Billing

Have you heard?  The newest buzz term that seems to be floating around every healthcare event this year is “Robotic Process Automation” or RPA for short.  It sounds intimidating, but there are many real-life applications of RPA that exist today that automate the manual tasks associated with medical billing.  Let’s take a deeper look into what RPA does, why it’s important to the world of medical billing, and how practices…
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Risks in Healthcare Cybersecurity and How to Avoid Them

Healthcare Cybersecurity Statistics 2019 This year, there have been 3.68 million individuals affected by data breaches currently under investigation by the U.S. Department of Health and Human Services. Healthcare data breaches are reported at a rate of one per day. Security company Cybersecurity Ventures predicts that healthcare will incur two to three-times more cyber-attacks than the average of all other industries. The most common locations of breaches to patient health…
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5 of the Best Diagnostic Radiology Coding Tips

How effective are your practice's coding procedures and policies?  In financial terms, medical coding is the life blood of the practice.  It's how the services you provide turn into billable revenue.  Failure to code correctly can lead to a myriad of problems including delays or lack of reimbursement and even fraud.  There are active steps you can take to improve medical coding and maintain a healthy bottom line.  Here are…
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MIPS 2019: What You Should Know for Successful Reporting

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released its 2019 Quality Payment Program (QPP) Final Rule, which includes changes made to the Merit-Based Incentive Payment System (MIPS).  The 2,378-page document details major changes to how CMS plans to continue implementation of its two payment tracks to promote interoperability, reduce clinician and administrative burden, implement meaningful measures, and improve patient outcomes.  Let’s look at some key rules…
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Why Your Millennial Patients Aren't Paying You: Improving The Patient Experience

It wasn't that long ago that I was a stressed out patient with a mountain of medical debt and no end in sight.  Unfortunately for both me and the hospital, I was never given a payment plan option.  Had I been given multiple payment options, they would have gotten paid much quicker and I would have been a much happier patient.If your patients' payment experience isn't an integral part of your…
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Winning Against Claims Denials in Medical Billing

“Denials management” conjures up several ideas: a software we should be using, a term we espouse in meetings, something to put on our resume, and something we’re supposed to be managing. But are you doing denial management effectively? How do you define “effective?” And how can you reduce claims denials in any meaningful way? Save staff time and streamline medical claims management What is Denial Management? The term “denials management”…
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Using Business Analytics in Healthcare to Power Your Practice

2019 is underway and promises to maintain the breakneck pace of change in healthcare. With the flurry of activity, it is more important than ever to maintain a clear vision of what is happening in your practice so you can make sound decisions with greater impact. It's hard to believe a mere 15 years ago, we were managing in the rearview mirror—waiting until month end reports to find something had…
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3 Tips to Negotiate Healthcare Payer Contracts Like A Pro

How well do you know your payer contracts? Understanding their terms and requirements are crucial to maximum reimbursement, but that’s no easy task. Confusing legal language and lengthy agreements are more than enough to cause discomfort and even reluctance to really delve deep into what each contract entails. However, you don’t have to be a lawyer to successfully manage your payer contracts. Here are a few tips that will help…
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