In the medical practices, revenue leakage can arise from numerous overlooked gaps in operational and financial processes. Factors such as coding mistakes, inefficient insurance verification, or late...
How to Navigate Common Challenges in Claims Management
Medical claims play a crucial role in the healthcare billing system by acting as a bridge between healthcare providers and insurance companies. Running a financially successful medical practice...
How Patient Eligibility Verification Mistakes Impact Claims
When it comes to healthcare providers, the revenue cycle is not just about delivering care – it is also about ensuring that every claim submitted gets efficiently reimbursed. One of the most...
Why CPT Modifiers Matter in Global Surgery
Surgeons are no strangers to the complexities of billing, but one small detail that can make a big difference in reimbursement is the correct use of CPT modifiers for global surgery. If you've ever...
Maximizing Reimbursements: Understanding the Impact of Payer Contracts
Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology...
What Are the ICD-10 Codes for Hypercholesterolemia?
Hypercholesterolemia, classified as a lipid disorder, is characterized by elevated cholesterol levels in the blood. This condition occurs when low-density lipoprotein (LDL), commonly known as “bad...
How to Reduce No-Shows and Cancellations in Your Medical Practice
Welcome to a podcast on “How to Reduce No-Shows and Cancellations in Your Medical Practice” from OSI, your trusted source for insights into medical billing, practice management, and revenue...
Medicare Auditing in 2025: What Providers Need to Know
Welcome to “Medicare Auditing in 2025: What Providers Need to Know”, where we break down the latest trends in healthcare, billing, and compliance. I’m Loralee Kapp, and today, we’re diving into an...
Common Reasons for Payment Denials and How to Address Them
Did you know that 15% of all claims submitted to payers for reimbursements get denied initially? This stat highlights the significance of effectively addressing an underlying problem: payment...