Medical Billing Denials Can Be Avoided

  • June 01, 2021

  • The definition of a medical billing denial is, "the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for healthcare services obtained from a healthcare professional."

    Hidden Costs of Collections That Are Often Overlooked

  • May 01, 2021

  • One of the most important and overlooked aspects in healthcare, is that financial viability is often linked to a strong and effective Revenue Cycle Management (RCM) process.

    How Covid-19 Has Changed the Medical Profession

  • April 01, 2021

  • COVID-19 has caused the medical profession to go through a major upheaval. Examining patients in person could result in coming into contact with contagious pathogens.

    Methods to Reduce Medical Claim Denials

  • March 01, 2021

  • One of the most troubling problems in many medical practices today is without a doubt, medical claim denials. You have to be proactive in developing strategies to improve operations and their Revenue Cycle Management (RCM).

    Orthopedic Billing & Coding-Sure Road Towards Profit

  • February 01, 2021

  • As obvious as it may seem, it often goes unchecked, but verification of patient information is an imperative step in the billing process. Double-check the spelling of patient names, their date of birth, as well as other details that are often easy to overlook or misspell but which can result in filing errors leading to denials of insurance claims later. Have your billing staff go over patient forms that so as to make sure the information received matches with what you process on your claim.

    Outsource and Grow Your Practice's Revenue

  • January 01, 2021

  • If you handle your health care practice and medical billing on your own there's a good chance that you might be losing revenue in an effort to balance both. Medical billing ultimately should be handled by specialized professionals who can concentrate specifically on billing.


  • December 01, 2020

  • The impact Covid-19 has had on medical practice’s revenues has been nothing short of a financial hurricane. We recommend the following patient collection strategies to help ensure that your practice successfully weathers these difficult times.


  • November 01, 2020

  • A vital aspect of any medical practice is Medical Billing and Coding, but for small and medium-size medical practices, it’s quite often one of the most overlooked aspects.


  • October 01, 2020

  • Medical billing can give medical practitioners a tough time managing workflow, system, revenue generation, and more. But when things go wrong with your medical practice, there are solutions for your medical billing process. This blog will show you the possible challenges in your practice and how to overcome them.

    How Poor Payer Reimbursements are Effecting Medical Practices During the COVID-19 Pandemic

  • September 01, 2020

  • If you are a physician who has been in practice for many years you probably remember the days when private payer reimbursements dwarfed Medicare reimbursements. Since the 2008 recession that dynamic has long since flipped. Reimbursements have been flat or have lost value from inflation, while practice costs have seen double-digit increases.

    Implement Strategies To Collect On Outstanding Patient Balances

  • August 01, 2020

  • Reforms are continuing to be altered in the healthcare industry, and are affecting practitioners, insurance providers and patients. Deductibles are increasing and patients are becoming more involved and active regarding their insurance plans and payments which can be overwhelming for healthcare practitioners to collect co-pays and balances in a timely fashion.

    Medical Billing Claim Denial vs. Claim Rejection

  • July 1, 2020

  • Two of the biggest obstacles affecting healthcare reimbursements are insurance claim denials and insurance claim rejections. In the billing world the terms "claim rejection" and "claim denial" are often used interchangeably. Not having a concise understanding of these two obstacles can cause a significant, negative impact on your practice's overall revenue cycle. Essential aspects for a timely cash flow include proper education and management of accounts receivable.

    Outsourcing Medical Billing Is An Intelligent Decision

  • June 01, 2020

  • Have you been debating whether you should outsource your medical billing services to an outside service provider or if you should do it in-house with medical billing software? As shown by a recent RCM survey by Black Book, an increasing number of physicians and practice groups are viewing outsourcing medical billing services as one of the most important decisions they have made which greatly benefit their clinical and financial outcomes.

    The Importance of Medical Billing Training and Certification

  • May 01, 2020

  • Medical billing professionals are a necessity and play a critical role in healthcare. Their work is extremely detail-oriented, complex, and directly affects the financial success of healthcare practices. The demand on healthcare providers has been increasing and will continue to do so. Ambiguity among payers can make claims processing a frustrating process, and that is why many practices are enlisting the help of highly-trained, certified medical billing professionals to ensure efficiency of their revenue cycle management.

    Avoid these Medical Billing Mistakes for a Successful Revenue Cycle

  • April 01, 2020

  • Effective revenue management ensures that healthcare providers can focus on giving quality care to patients. However, providers often struggle to bill effectively. Below are the most common errors that prevent healthcare providers from billing properly and collecting on money that the practice is owed.

    Useful Tips for Choosing a Medical Billing Service

  • March 01, 2020

  • Outsourcing medical billing services for medical practices or groups can help maximize claims payments and keep your practice compliant. This is accomplished through aggressive collection practices, efficient and accurate execution of billing tasks, and current knowledge of documentation regulations.

    Taking the Headache Out of Credentialing

  • February 01, 2020

  • Are you so overwhelmed with patients, billing, invoices, emergencies and other day to day practice worries that you don’t even have the time to get yourself credentialed with all the carriers possible?

    Improve Your Practice’s Finances by Smarter Medical Collections

  • January 01, 2020

  • According to the America’s Health Insurance Plans' Census of Health Savings Account - High Deductible Health Plans, the number of individuals enrolled in a high deductible health plan reached over 20 million in January of 2019.

    How to Protect Your Medical Practice from Cyber Attacks

  • December 01, 2019

  • Anyone who has been paying just cursory attention to the news will undoubtedly be aware that healthcare organizations are becoming a huge target for criminal computer hackers. Yet many of us still live in a bubble of blissful ignorance when it comes to computer security. Unfortunately, the truth is cyber-crime is rampant.

    What is the relationship between HITECH, HIPAA, and electronic health or medical records?

  • November 01, 2019

  • HIPAA and HITECH lay out strict standards governing information security and privacy of patient information. While HIPAA/HITECH may be a boon to the security of healthcare information, they also throw up a number of challenges like high costs, tracking regulatory changes, extensive documentation and several others.

    What is Medical Billing Upcoding?

  • October 01, 2019

  • Upcoding is fraudulent medical billing in which medical coders send a bill for health services that are more expensive than they should have been based on the service(s) that were performed.

    What is Medical Practice Management?

  • September 01, 2019

  • Many physicians and physician groups have come to clearly understand that their time is more effectively and profitably spent seeing patients rather than trying to micro-manage their practices.


  • August 01, 2019

  • Violating the Health Insurance Portability and Accountability Act (HIPAA) is not a joking matter!


  • July 01, 2019

  • According to a Healthcare & Business Technology report regarding medical billing, almost $125 billion in uncollected revenue happens each year due to:


  • June 01, 2019

  • Dropbox is a popular file hosting service used by many organizations to share files, but what about protected health information? Is Dropbox HIPAA compliant?


  • May 01, 2019

  • Healthcare facilities exist to administer medical care to their patients. While infection prevention, cures, disease management, operating room efficiency have advanced more so than any other time in history.

    Tips for Choosing a Medical Billing Service for Your Podiatry Practice

  • April 01, 2019

  • When you're seriously looking at cost-effective and revenue-maximizing medical billing services for your podiatry practice, the right medical billing services can help you maximize claims payments and keep your practice compliant.

    Tips for Choosing a Medical Billing Service for Your Podiatry Practice

    Massive Increase in Exposed Healthcare Records

  • March 01, 2019

  • Even with the HIPAA Security Rule, a massive increase in exposed health records has been reported in the 2019 Breach Barometer Report. That is not good news for the health care industry.

    Why You Should Outsource Your Medical Billing Services

  • February 01, 2019

  • Did you know that many of the chief financial officers (CFOs) involved in the 2018 CFO Outlook Performance Management Trends and Priorities in Healthcare listed cost reduction as their no. 1 priority.

    Saving Money in Health Care Using Speech Recognition Software

  • January 01, 2019

  • Most people usually think of data in abstract terms. In other words, as a set of numbers or similar digital information and doctors are no exception.

    Dragon Medical

    HIPAA Physical Security Safeguards

  • December 01, 2018

  • The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has called the HIPAA physical security safeguards for electronic protected health information (ePHI), an "often overlooked" element of the HIPAA Security Rule.

    Medical Billing: Taking Control Of Accounts Receivable

  • November 15, 2018

  • Medical billing services are imperative, and if you are like most physicians who run a medical practice, you understand how important medical billing services are to your business. Patient care is the priority of every hospital, medical or dental practice, but could be comprised if you are doing your medical billing in house.

    Medical Bill Services Just Make Sense

  • April 15, 2018

  • Medical billing services are imperative, and if you are like most physicians who run a medical practice, you understand how important medical billing services are to your business. Patient care is the priority of every hospital, medical or dental practice, but could be comprised if you are doing your medical billing in house.


  • February 22, 2018

  • Outsourcing your medical billing is essential if leveraging your technology is getting more difficult to handle.

    Medical Billing Can Help your Bottom Line

  • February 01, 2018

  • If medical billing is causing undue stress, it�s time to call RevPro Health Care. RevPro are the medical billing experts and can help you get back to what you do best, providing medical care.

    2017 Pain Management Coding

  • December 15, 2017

  • Effective Jan 1, 2017, there are a number of changes for pain management billing. The AMA has added and deleted a number of billing codes. Following are the pain management coding changes for 2017:

    Best Practices For Protecting Your Hipaa-Compliant Data

  • November 01, 2017

  • Following are examples of HIPAA violations that took place in 2017. Each one is a nightmare that healthcare organizations should hope to avoid. The average drop in revenue at a healthcare provider after a data breach is almost $4 million, and that kind of breach is overwhelming.

    Questions to Ask a Medical Billing Service Before Hiring Them

  • October 15, 2017

  • Thinking about how to reduce administrative costs, ensure an uninterrupted cash flow, increase your bottom line, and most importantly, allow you to focus on your patients? Then hiring a skilled medical billing service can be just the answer for your healthcare practice.

    Measuring Patient Satisfaction

  • October 01, 2017

  • A very important aspect of any medical practice is patient satisfaction, and a recent increase in emphasis on quality of care and value-based payment models has brought more attention to the subject. But measuring patient satisfaction can be difficult.

    How to Make Patient Collections More Efficient in a Medical Practice

  • September 15, 2017

  • As anyone running a medical practice knows, even the most successful medical practices sometimes have problems with patient collections. Yet, keeping patient payments on-time is essential for having enough working capital on hand to keep a medical practice open.