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 do Medical Billing and Coding Regulations affect Reimbursement in Healthcare Organizations?
Medical billing and coding regulations play a critical role in determining reimbursement in healthcare organizations by ensuring that services provided are accurately documented, billed, and...
The Role of RCM Analytics in Healthcare Practices
The current landscape of the healthcare industry is jam-packed with a plethora of challenges that necessitate practical and timely responses to provide quality care and secure fiscal stability....
Key CPT Code Updates for 2025
The “language of medicine,” as the CPT code set is often referred to, is set to see several updates in 2025. As a provider of professional medical billing and coding solutions for healthcare...
Using Modifiers in Chiropractic Medical Billing
Modifiers are used in medical billing for identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Proper modifier use is crucial in claims...
What is a Denial in Medical Billing?
Effective denial management in medical billing is crucial for ensuring timely reimbursements and minimizing financial disruption for both healthcare providers and patients. A denial occurs when a...
Navigating Inpatient vs. Outpatient Urology Coding: Key Differences and Best Practices
Similar to other medical specialties, urology involves various procedures and treatments including outpatient, inpatient, and urgent care, diagnostics, and consultations. Accurate coding for these...
Common Mistakes to Avoid in Substance Abuse Medical Billing
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although...
Radiology Billing Compliance: What You Need to Know
Imaging centers provide a wide array of procedures and diagnoses, making radiology billing compliance essential for success. Navigating the intricate coding, billing rules, regulations, and prior...
Muscular Dystrophy and Updated ICD-10 Codes: A Guideline for Practitioners
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
Billing and Coding Tips for Spine and Pain Management
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...