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...
The Impact of Prior Authorization Requirement on Mental Health Services
Obtaining behavioral health prior authorization has been considered a longstanding obstacle in providing timely mental healthcare. While intended to be used as a cost containment tool by insurers,...
How to Code for Dermatomyositis – A Common Rheumatology Disorder
Regarded as a chronic inflammatory disease, dermatomyositis affects the muscles and skin. It can affect adults and children and is most commonly seen in females than males. Accurate and compliant...
ICD-10 Coding for Thrombophilia: Best Practices & Common Pitfalls
Thrombophilia is a medical condition that increases the risk of developing abnormal blood clots in the veins or arteries. Accurate ICD-10 coding for thrombophilia is crucial for proper...
How Outsourcing Medical Coding Drives Healthcare Revenue Integrity
In today’s competitive healthcare environment, financial stability is as critical as clinical excellence. Accurate medical coding is essential for proper reimbursement, compliance, and data...
Medical Coding for Cardiac Arrest
It is estimated that more than 436,000 cardiac arrest deaths occur each year in the United States. Medical coding for cardiac arrest or heart failure is a crucial aspect of cardiology billing and...
What Is Lean Healthcare?
The healthcare industry, frequently confronted with a multitude of challenges, inefficiencies, and limitations, is consistently seeking innovative solutions to optimize its processes. As the demand...
Top Patient Retention Strategies to Implement for Practice Success
In the ever-evolving landscape of the healthcare industry, implementing patient acquiring strategies may take the spotlight in 2025 in the efforts to enhance revenue growth. However, a notable fact...