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