Posts

Detecting & Resolving Underpayments with Automation in Healthcare RCM

In the healthcare industry, underpayments are a common issue that can significantly impact a provider's bottom line. These discrepancies occur when healthcare providers receive less reimbursement from insurance payers than what is actually owed. Resolving these underpayments is crucial for maintaining financial health and operational efficiency. With advancements in automation, healthcare organizations can now detect and resolve underpayments faster, more accurately, and with less manual intervention. In this blog, we’ll explore how automation is transforming revenue cycle management (RCM) for healthcare providers, specifically focusing on detecting and resolving underpayments.   Understanding Underpayments in Healthcare RCM What are Underpayments? Underpayments in healthcare occur when the reimbursement received by a provider is less than what was expected for services rendered. This can happen due to several factors, such as billing errors, discrepancies in payer data, ...
Post a Comment
Read more

Allergy & Immunology Billing Redefined: How iMagnum Powers Precision, Compliance & Consistent Revenue

 In a specialty where every claim must justify medical necessity , and payer edits change without warning , providers cannot afford to rely on outdated billing systems. For Allergy & Immunology practices, revenue success now hinges on more than just clean claims—it requires proactive intelligence, real-time policy mapping, and specialty-grade automation . Enter iMagnum Healthcare. From Reactive to Predictive: The New Era of Allergy Billing Traditional billing systems treat claim submission as a final step. But in Allergy & Immunology, the battle for reimbursement begins much earlier —from verifying payer-specific LCDs to selecting the right testing code combinations. iMagnum redefines the billing lifecycle by: Turning coding rules into proactive edits Mapping payer behavior to submission strategy Using RPA and AI to adapt faster than manual teams ever could The result? Practices no longer chase denials—they prevent them . What...
Post a Comment
Location: Texas, USA
Read more

Precision Meets Productivity: How iMagnum Elevates ABA Therapy Billing with Outcome-Driven RCM

  “Our claims were constantly denied, and the delays in authorizations were affecting therapy timelines. We needed more than a billing service—we needed a partner.” This is a common sentiment echoed by ABA therapy providers today, who face some of the most complex reimbursement workflows in healthcare. The Challenge: ABA Therapy’s Billing Burden ABA (Applied Behavior Analysis) therapy billing is anything but straightforward. Each service is time-based , often varies by state regulations, and demands real-time documentation and frequent authorizations . Add to that payer-specific coverage criteria and coding guidelines, and the risk of denials becomes a daily reality. Common Pain Points: Frequent denials due to improper use of CPT codes (e.g., 97151, 97153) Delays from authorization expiration or missed renewals Underpayments caused by imprecise time tracking Provider burnout from manual documentation and rework cycles For growing ABA practic...
Post a Comment
Location: Texas, USA
Read more

What is Revenue Cycle in Medical Billing? A Comprehensive Guide for Modern Hospitals

  Revenue Cycle Management (RCM) is the backbone of any healthcare institution's financial stability. It is the process that tracks a patient’s financial journey from the moment they book an appointment to the point where all payments have been collected. To put it simply, what is revenue cycle in medical billing ? It’s a series of steps that ensure healthcare providers get paid for the services they deliver. The revenue cycle encompasses various stages, including pre-registration, insurance verification, coding, claim submission, payment posting, and patient billing. Effective RCM not only ensures that healthcare facilities receive accurate reimbursements but also minimizes denials and accelerates the payment process. Key Steps in the Revenue Cycle of Medical Billing Pre-Authorization and Registration : The first step in the revenue cycle involves collecting patient information, verifying insurance, and ensuring that services are pre-authorized when ne...
Post a Comment
Read more

Understanding the CPT Code for Transition of Care: A Guide by iMagnum Healthcare Solutions

  In today’s healthcare landscape, the transition of care is a crucial aspect of patient management. As patients move from one healthcare setting to another—such as from a hospital to a primary care provider—it’s essential that this transition is seamless and well-coordinated. An essential tool in facilitating this process is the CPT code for transition of care . Understanding this code and how to apply it accurately can significantly impact the efficiency of healthcare practices and the well-being of patients. What is the CPT Code for Transition of Care? The CPT code for transition of care is used to identify and bill for the management of a patient’s care during the transitional period after discharge from an inpatient facility, such as a hospital or rehabilitation center. This code ensures that healthcare providers are compensated for the extra time and resources spent in managing and coordinating patient care, which often involves follow-up visits, communication between sp...
Post a Comment
Read more

Streamlining Urgent Care Billing Services with iMagnum Healthcare Solutions

 Urgent care centers play a vital role in providing quick and accessible medical attention for non-emergency situations. However, one area that often poses a challenge for these facilities is managing the complexities of urgent care billing services . From ensuring accurate coding to dealing with payer-specific requirements, urgent care billing can become time-consuming and error-prone. To tackle these challenges, many healthcare providers turn to professional billing services like iMagnum Healthcare Solutions . With a specialized focus on urgent care billing services , iMagnum streamlines the process, offering tailored solutions to ensure a smoother workflow and faster reimbursements. Key Features of iMagnum’s Urgent Care Billing Services: Accurate Medical Coding iMagnum’s team ensures that all urgent care visits are coded accurately, helping to reduce the risk of claim denials and rejections. This attention to detail not only speeds up the reimburseme...
Post a Comment
Read more

Mastering Speech Therapy Billing Codes: A Guide to Streamlined Medical Billing

 Effective medical billing is the backbone of any successful healthcare practice, and speech therapy is no exception. Properly using speech therapy billing codes ensures that therapists are compensated correctly for their services and that insurance claims are processed without delay. However, navigating the intricate world of medical codes and insurance requirements can be a challenge for many. The Importance of Correct Speech Therapy Billing Codes Billing for speech therapy services involves the use of specific Current Procedural Terminology (CPT) codes that must accurately reflect the services provided. Any errors or omissions in these codes can lead to delayed payments, denied claims, or even financial losses for a practice. Understanding the nuances of each billing code is essential to ensuring that your practice runs smoothly. Here are a few common challenges in speech therapy billing: Code Selection : Accurately selecting the correct CPT code based on the ...
Post a Comment
Read more