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The 12 Days of Medicare Billing

eSolutions would like to wish everyone a happy holiday season the best way we know how, by helping you with your Medicare billing!

Don’t Let Medical Necessity Denials Ding Your Bottom Line

Payer denials, write-offs and claim rework can really hit a healthcare organization where it hurts the most – right in its bottom line.

Medical necessity is among the top-five reasons medical claims get denied, and those denials cost providers millions each year. In fact, medical necessity denials accounted for nearly 3 percent of all denials recorded in eSolutions’ TITAN performance insights tool, resulting in more than $8.9 billion in denied billed revenue since TITAN launched in 2011.

Adapting to New Technology Is Critical to Your Company's Health

Technology has come a long way in a short period of time. Computers that once occupied entire rooms now easily fit on a desk, and modern phones can do much more than call a friend. Like it or not, technology is a part of your everyday life and it’s not going away anytime soon.

Best Practices in Your Practice Management System Search

A practice management (PM) system is the glue that binds a healthcare provider practice. It’s the primary tool office staff count on for effective communication and streamlined coordination between patients, providers and systems. A PM system tracks many moving parts of your business, and your patients are counting on your office to run smoothly.

Prevent Claim Denials and Manage Appeals Like a Pro

Denials can hit your healthcare organization where it hurts.  According to MGMA, the average denial rate of a physician practice ranges from five to 10 percent. The median 350-bed hospital saw average write-offs from denials rise to $7 million in 2017.

Guide to Getting Started with Hospice Billing

As the hospice care landscape changes, so do the rules and regulations surrounding hospice billing and reimbursement. Hospice agencies are faced with regulation requirements that make submitting claims and reporting data more complex. For new hospices, deciding where to focus and assign resources might feel overwhelming. The hospice revenue cycle experts at eSolutions have developed this guide to help hospices make sense of Medicare billing so you can get paid quickly and accurately - and feel less stress.

Guide to Switching Clearinghouses

 

Billing claims is difficult work. As the insurance industry continues to grow in complexity, it’s no wonder more providers are turning to clearinghouse services than ever before. But with so many choices available for processing claims, how can you make sure your clearinghouse partner is doing everything it can to improve the health of your billing process? This guide will assist you with evaluating your current service and highlight some of the key logistics of switching to a new clearinghouse.

Guide to Getting Started with Home Health Billing

As our population ages and more people are taking advantage of home care services, the home health industry will continue to expand. For new home health agencies, deciding where to focus and assign resources might feel overwhelming. Home health billing and claims management through Medicare is complex, which is why we've developed an easy-to-understand guide to help new agencies get started.

The Skilled Nursing Facility Billing Toolkit

Whether you belong to an experienced SNF organization wanting to strengthen your revenue cycle, or a SNF new to the market, the eSolutions Skilled Nursing Facility Billing Toolkit has something for you!

How Increased Medicare Advantage Enrollment Impacts Providers

As the “silver tsunami” of baby boomers aging into Medicare continues, so does enrollment in Medicare Advantage (MA) plans. A staggering 10,000 people are eligible to enroll in Medicare each day. From 2008 to 2017, MA plan enrollment grew from 9.7 million to 19.6 million. This growth represents 34 percent of all Medicare beneficiaries.