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 they also waste staff time and impact patient care, revenue streams,...
Medical Billing
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...
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 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...
Using RCM Analytics to Drive Better Financial Decisions in Healthcare
As healthcare organizations grapple with financial challenges due to rising costs, declining reimbursement rates, and staffing shortages, proper revenue cycle management (RCM) has become more...
Medical Revenue Cycle Management Explained: From Patient Intake to Payment
The world of healthcare is complex, involving multiple systems, technologies, and interactions. While navigating these challenges to deliver quality patient care is paramount, ensuring the financial...
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...