Did you know that 4 in 10 people have delayed or totally skipped healthcare in the past two years due to cost concerns? Now, imagine a scenario where a patient who has undergone treatment receives a medical bill that is not only unexpected, but incomprehensible. It’s...
Medical Billing
Tips to Handle Pediatric Billing Denials
Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and...
Thyroid Disorder Billing and Coding: Key Codes and Compliance Tips
Thyroid disorders include a wide range of conditions affecting the thyroid gland. Managing patients with thyroid disorders requires a comprehensive approach that includes accurate diagnosis,...
Medicare Auditing in 2025: What Providers Need to Know
Medicare audits are designed to help detect fraud, waste, and abuse while ensuring proper reimbursement. By conducting these reviews, Medicare aims to ensure that healthcare providers are comply...
Medical Coding for Temporomandibular Joint (TMJ) Disorder
Temporomandibular Joint disorder (TMJD) is a condition that causes pain and tenderness in your jaw joints and surrounding muscles and ligaments. According to the National Institute of Dental and...
Common Reasons for Payment Denials and How to Address Them
Did you know that 15% of all claims submitted to payers for reimbursements get denied initially? This stat highlights the significance of effectively addressing an underlying problem: payment...
Key Developments in Medical RCM for 2025
Efficient revenue cycle management is the backbone of any healthcare organization, and it is constantly shaped by emerging trends, technological advancements, and ongoing challenges. Like previous...
Detailed Clinical Documentation Crucial for Accurate Abscess Coding
A skin abscess is a pocket of pus that forms under the skin. Incision and drainage (I&D) is the key treatment for skin and soft tissue abscesses. This minor surgical procedure involves making an...
ICD-10 Codes for Basal Cell Carcinoma – A Common Type of Skin Cancer
Basal cell carcinoma (BCC) is a condition that causes a lump, bump or lesion to form on the outside layer of your skin (epidermis). It most often appears on areas of the skin that are exposed to the...
ICD-10 Codes for Diverticulitis – What Medical Coders Need to Know
Understanding the specific ICD-10 codes for diverticulitis is essential for accurate and compliant medical billing, especially for those specializing in gastroenterology medical coding. Medical...
Medicare Telehealth Policy Updates for 2025
Telehealth became a mainstay during the pandemic, allowing providers and patients to stay connected when socialization restrictions were in place. In 2025, Medicare’s pandemic-era telehealth...