Effective denial management in medical billing is crucial for ensuring timely reimbursements and minimizing financial disruption for both healthcare providers and patients. A denial occurs when a...
Common Mistakes to Avoid in Substance Abuse Medical Billing
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although...
Gastroenterology Billing and Coding Insights: Recent Developments and 2025 Updates
Staying ahead of billing and coding changes is essential to run a successful gastroenterology practice. As a gastroenterology medical coding company, we help gastroenterologists report their...
Why Do Insurance Companies Require Prior Authorization?
What Is Prior Authorization? Prior authorization, also known as ‘prior auth’ or P.A or pre-certification, is a standard management process in the healthcare industry where a healthcare provider gets...
Understand the Key Elements of ‘Incident-to’ Billing
Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under...
Guidelines to Optimize Your Pain Management Medical Billing and Coding Processes
Pain management involves a wide range of procedures, interventions, and medications, each requiring specific coding. Successful claim submission requires in-depth knowledge of medical terminology,...
Best Practices for Podiatry Medical Billing and Coding
In the healthcare sector, podiatry is a specialty with unique medical billing and coding challenges. Podiatrists have to deal with diverse foot conditions, and not all services are covered by...
Key CPT Coding Updates for General Surgery in 2024
When compared to other specialties, billing and coding for general surgery can be especially complex. There are a wide range of major and minor surgical procedures, each with an extensive set of...
Why are Internal Audits Critical for Medical Billing and Coding Compliance?
In the highly regulated, highly scrutinized healthcare industry, implementing medical billing audits is essential. Whether a healthcare organization is a solo or group physician practice, a hospice,...