Things You Should Know To Cast A Better Credentialing Future In 2023

  • Sep 25, 2023

 

The outsourcing process of credentialing & billing in the medical sector is expanding fast. This may hit the number of 25.3 billion USD by 2028, with a CAGR of 12.3% per the Grand View Research.  In order to stay on top, there are things that you must know to stand out from the rest. It’s important to stay updated with time-to-time changing trends of the particular industry so you won’t miss out on anything. Here we’ve curated some data for you for better knowledge of the industry and trends.

To keep up, staying on top of the trends shaping the future of medical billing services and the healthcare industry is important. In the global billing outsourcing market, hospitals held the highest market share last year and are expected to continue to do so until 2026. To achieve these goals, it’s crucial to eliminate errors in insurance validation, patient registration, and claim submission and manage payment denials. Staying up to date with trends shaping the future of medical billing services is also key, regardless of size. To help hospitals and healthcare providers stay focused and move forward, let’s take a look at some of the most recent medical billing technology and trends.

 

  1. STAY UP-TO-DATE ON THE LATEST TECHNOLOGY

As new advancements are made, adapting and learning how to use them to your advantage is important. This includes everything from blockchain to artificial intelligence. This innovative solution offers a reliable and secure distributed ledger that records all successful transactions, ensuring data integrity and protection for patient health data, electronic health records (EHRs), claims data, and monitoring system data. With blockchain technology, billing data is recorded in a tamper-proof manner, ensuring that no changes can be made until the recipient receives them. This is an exciting development that can help healthcare professionals reduce the possibility of errors in medical billing and coding.

 

  1. BUILD A STRONG NETWORK

Networking is key when it comes to credentialing. Attend industry events, connect with colleagues on social media, and join professional organizations to stay connected and learn from others in your field. According to a recent study, utilizing CAC has increased coder productivity by 20% while decreasing coding time by 22% compared to those who do not use it. However, it is important to note that the accuracy of the CAC software could be further improved with the assistance of a skilled human coder. Overall, it is clear that computer-assisted coding is a valuable tool that can greatly enhance the efficiency and accuracy of coding in the healthcare industry.

 

  1. FOCUS ON CONTINUOUS LEARNING

Credentialing is an ongoing process, and it’s important always to be learning and improving your skills. Consider taking online courses or attending workshops to stay current and improve your knowledge. When it comes to reimbursement, keeping accurate records is crucial. Unfortunately, record-keeping mistakes can lead to many problems for medical practices. Searching for the right diagnostic codes can be time-consuming, and it can prevent healthcare providers from getting to know their patients better. But there’s no need to panic! One way to improve the effectiveness of your record-keeping tasks is to incorporate technology. In particular, aligning your EHR with medical billing software can be very beneficial. In addition, if your medical billing company offers CAC, the process can be even faster. With these integrations, automated code suggestions appear while documenting, which can help ensure that the codes are accurate right from the start. Compared to previous methods, this saves a lot of time, reduces the chances of errors, and helps create comprehensive reports.

 

  1. EMBRACE DIVERSITY AND INCLUSION

A diverse and inclusive workforce is essential for success in today’s global economy. Make sure your credentialing process reflects this by considering candidates from diverse backgrounds and ensuring your process is fair and unbiased.

 

LAST WORDS

Keeping up with the ever-evolving trends in healthcare is crucial to ensure success. When healthcare organizations fail to keep track of these trends, they miss out on plenty of opportunities. To stay ahead in medical billing and coding, staying current and always upgrading to keep up with new practices is important. Proper time management is also crucial for both back-office administration activities and medical services offered to patients. This ensures patient safety and seamless, high-quality operations for the healthcare organization.

 

Many medical practitioners outsource medical billing and coding services to focus more on providing excellent care to their patients and increasing their visits. Revenue Cycle Management (RCM) is critical for managing complex procedures such as scheduling appointments, AR follow-up, submitting accurate claims, and payment collection. Outsourcing these services allows medical practices to maximize resources while having a strong revenue drive.