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 size valued at USD 343.78 billion in 2024 and is expected to touch USD...
Medical Billing
Understanding Write-Offs in Medical Billing
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...
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...
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...
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...
Why Revenue Optimization Matters for the Financial Health of Practices
The financial health of a medical practice directly influences its capacity to invest in the latest medical technology, provide ongoing staff training, and deliver optimal care. Modern patients...
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...
Regulatory Changes in Medical Billing and Coding for 2025
As we end of the first quarter of 2025, we are already witnessing profound changes driven by a complex set of regulatory updates. The intricacies around medical coding/billing, and submitting a...
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...