How Electronic Data Interchange Improves and Automates the Revenue Cycle in Healthcare A streamlined revenue cycle isn’t just a goal — it’s a necessity. EDI plays a pivotal role in achieving this by automating key processes, reducing errors, accelerating reimbursements, and ultimately improving financial performance. Here’s how EDI transforms each phase of the revenue cycle with … Read More →
Understanding Service Type Codes (STC) in Healthcare Claims When it comes to medical billing and insurance claims, precision is everything. One often overlooked —but critically important — component in this process is the Service Type Code (STC). These codes help identify the specific category of service being provided and are essential for claims processing, eligibility … Read More →
Common Errors in X12 271 Eligibility Responses And How to Avoid Them The X12 271 Eligibility Response is a critical transaction in the healthcare revenue cycle. Sent in response to a 270 inquiry, it provides essential information about a patient’s insurance coverage, benefits, and eligibility. But when this transaction contains errors, it can lead to … Read More →
Understanding HIPAA and the Importance of Securing Patient Health Information in Transactions The Health Insurance Portability and Accountability Act (HIPAA), enacted in 1996, is a foundational U.S. law that governs the privacy and security of protected health information (PHI). Its main goal is to ensure that individuals’ medical records and other personal health data are … Read More →