I am Medical Billing and Coding Clinical Operations Consultant at Svast Healthcare Technologies. With over thirty years of experience in the healthcare field, I’ve worn many hats and gathered insights into various aspects of clinical operations. I’m excited to share my knowledge and expertise with you through this blog.
According to AARP, nearly 15 percent of all claims get denied, amounting to over 200 million claim rejections each day. However, there are ways to avoid claim rejections and keep your revenue flowing. One common denial that healthcare organizations often struggle with is denial code CO-45. This article aims to provide a comprehensive understanding of […]
Starting a new medical practice is a challenging endeavor. Many new practices fail due to a variety of reasons. Here are the top five reasons why new practices fail, accompanied by real-life examples: 1. Doctor’s Underestimate the Work Involved A primary care practice in Savannah, GA underestimated the amount of work it takes to customize […]
In the face of spiraling healthcare costs and the pressing need for enhanced patient outcomes, Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have emerged as pivotal models in the transition to value-based care (VBC). These organizations, while sharing a common goal of improving healthcare delivery, embody distinct structures and strategies to manage the […]
Insurance eligibility verification is an important part of healthcare revenue cycle management (RCM). This procedure ensures that healthcare professionals receive timely and appropriate compensation for their services, while also enhancing patient satisfaction and financial outcomes. Enhancing Cash Flow and Reducing Denials Accurate insurance eligibility verification reduces the chances of claim denials, which can be a […]
