In-vitro fertilization (IVF) remains one of the most effective assisted reproductive technologies available today, but it is also associated with significant treatment costs and complex payer...
Celebrate 2026 with OSI’s New Year Offer for Medical/Dental Practices
The start of a new year is the perfect opportunity for healthcare providers to reassess their financial operations and adopt smarter revenue strategies. With increasing complexity in medical billing...
AMA 2026 CPT Code Updates: Key Changes Providers Must Know
The American Medical Association (AMA)’s CPT code set for 2026 includes 418 changes comprising 288 new codes, 84 deletions, and 46 revisions. The 288 new CPT codes incorporate the latest advances in...
The Impact of Artificial Intelligence on Code Assignment Accuracy
Accuracy in medical coding doesn’t just affect claim approvals. It also directly influences various aspects of healthcare such as proper reimbursement, compliance, and patient safety. Ensuring...
The Hidden Consequences of Poor RCM in Healthcare
Consider this scenario: a medical facility has been grappling with flawed revenue cycle management (RCM) throughout the past year. The administrative department is overloaded with manual paperwork,...
Understanding Prior Authorization for Orthopedic Billing
Orthopedic practices perform a wide range of joint surgeries, musculoskeletal treatments, ligament reconstructions, and spinal interventions. Managing prior authorization in orthopedic billing is...
Navigating Denial Management in Orthopedic Billing
Medical billing in orthopedic practices involves complex surgical coding, bundled service rules, and high-dollar healthcare claims that receive intense payer scrutiny. These complexities make the...
Technology Tools for Better RCM That Every Healthcare Provider Should Know
Increasing digitization and unorganized workflows in healthcare has fueled the need for efficient revenue cycle management (RCM) solutions. According to Grand View Research, the global RCM market...
Differentiating Between Upcoding and Downcoding in Medical Billing
Claim submission and denial management are the two steps that typically comprise the major portion of the medical billing workflow. While these steps are the key to obtaining proper reimbursements...