Texas Hill Country Consultants

What’s the Difference Between Insurance Recoupment & Refund in Medical Billing? By Texas Hill Country Consultants Understanding Recoupment and Refund in Medical Billing In the ever-changing world of medical billing and revenue cycle management , even small misunderstandings can lead to significant financial losses. Two terms that often cause confusion are insurance recoupment and refund . While both involve returning money, the process, reason, and initiator differ greatly. At Texas Hill Country Consultants , we help healthcare providers understand these billing terms so they can stay compliant, protect revenue, and maintain strong payer relationships. What Is Insurance Recoupment? Definition: Insurance recoupment occurs when a payer (insurance company) determines after paying a claim that they have overpaid and need to take the money back. Common Causes of Recoupment: Overpayment errors due to incorrect coding or charges Coordination of Benefits (COB) where anoth...

Top EMR and Practice Management Software for Small Medical Practices in Texas Running a small medical practice in Texas presents unique challenges and opportunities. Efficient Electronic Medical Records (EMR) systems and Practice Management Software (PMS) are crucial for streamlining operations, ensuring compliance, and enhancing patient care. At Texas Hill Country Consultants , we understand the importance of selecting the right technology. Here’s a closer look at some of the leading software solutions tailored for small practices in Texas: eClinicalWorks, Tebra, Medisoft, IMS, and Athena. 1. eClinicalWorks Overview: eClinicalWorks is a comprehensive, cloud-based EMR and practice management solution widely adopted across the U.S., including Texas. It is designed to cater to small and midsize practices seeking robust features with a user-friendly interface. Key Features: Cloud-based EMR with customizable templates Practice management tools including scheduling and billing Telehealth a...