Gastroenterology billing is challenging due to complex coding requirements, billing multiple payers, limited insurance coverage, and other challenges like documentation requirements, changing...
Exploring the Impact of Retro Authorization on Revenue Cycle
In today’s complex healthcare billing landscape, authorizations play a crucial role in ensuring smooth financial operations. Healthcare providers and billing departments need to understand how...
Tips for Avoiding Prior Authorization Delays in Healthcare
In today’s healthcare environment, balancing quality patient care with growing administrative demands is one of the biggest challenges. Among these demands, few are as time-consuming and frustrating...
How to Report Systemic Lupus Erythematosus with the Correct ICD-10 Codes: A Complete Guide
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that affects multiple organ systems and can present with a wide range of symptoms. For healthcare providers and medical coders,...
Seven Common Claim Denial Reasons and Effective Mitigation Strategies
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 an ineffective insurance verification process can lead to claim denials, delayed payments, and increased administrative burden for healthcare providers? In today’s fast-paced...
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...