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 wondered why a claim was reduced or denied despite providing top-tier...
Medical Billing
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...
Anesthesiology Coding: Key Guidelines for Accurate Claims
Anesthesiology coding involves precisely documenting the services provided by anesthesiologists during surgical and procedural care. Accurate coding is crucial for ensuring proper medical billing,...
Understanding the ICD-10 Code for Acute Encephalopathy
Acute encephalopathy occurs due to rapid alteration in brain function and this change in brain function may result from several underlying causes such as infections, toxic exposure or metabolic...
The Role of Clearinghouse Services in Medical Billing
What is a Medical Clearinghouse Service? A healthcare clearinghouse is a third-party service that acts as an intermediary between healthcare providers and payers for processing healthcare...
Key Steps in Home Health Medical Billing
The number of Americans aged 65 and older is projected to rise from 58 million in 2022 to 82 million by 2050, a 47% increase, according to the Population Reference Bureau. Home health services...