When it comes to the world of healthcare revenue cycle management, insurance claim denials are a major pain point that can significantly disrupt cash flow. Not only do they delay reimbursements, but...
How to Code Thrombophilia – A Common Vascular Condition
A common vascular disorder, Thrombophilia is a condition where the blood in the veins and arteries has an increased tendency to form clots. The condition refers to a hypercoagulable state - an...
Best Practices to Streamline Insurance Verification Process for 2025
Did you know that ineffective insurance eligibility verification processes can lead to untimely claim denials, delayed payments, and increased administrative burden for healthcare providers? In...
Medical Coding for Glomerulonephritis – A Chronic Kidney Related Disease
Glomerulonephritis (GN) is a chronic kidney disease (CKD) characterized by inflammation of the glomeruli – the tiny filters in the kidneys that filter waste and excess fluids. The excess fluid and...
Why Is Interoperability Important in Healthcare?
What Is Interoperability in Healthcare? Interoperability in healthcare refers to the ability of disparate health information systems, applications, and devices to connect, access, and exchange data...
Tips to Handle Pediatric Billing Denials
Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and...
Medicare Auditing in 2025: What Providers Need to Know
Medicare audits are designed to help detect fraud, waste, and abuse while ensuring proper reimbursement. By conducting these reviews, Medicare aims to ensure that healthcare providers are comply...
Key Developments in Medical RCM for 2025
Efficient revenue cycle management is the backbone of any healthcare organization, and it is constantly shaped by emerging trends, technological advancements, and ongoing challenges. Like previous...
Detailed Clinical Documentation Crucial for Accurate Abscess Coding
A skin abscess is a pocket of pus that forms under the skin. Incision and drainage (I&D) is the key treatment for skin and soft tissue abscesses. This minor surgical procedure involves making an...