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 abnormality in blood coagulation that increases the risk of clot formation....
Medical Billing
What Can Be Done If A Prior Authorization Is Denied?
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent,...
What Are the Steps Involved in the Pharmacy Prior Authorization Process?
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...
Understand the Key Elements of ‘Incident-to’ Billing
Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under...
Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal
When coding for foreign body removal, it is necessary to evaluate all the potential CPT codes. After careful examination, select the most relevant codes that accurately reflect the treatment...
Navigating Pain Management Billing and Coding: Challenges and Proven Best Practices
Pain management practices face several unique medical billing challenges. Accurate billing and coding is essential for proper reimbursement and compliance, but can be challenging due to the...
Key Considerations for Coding and Billing Hospitalist Services
Hospitalists play a crucial role in patient care, especially in inpatient settings. Using specific medical codes is essential for accurate coding and billing hospitalist services to ensure proper...
Guidelines to Optimize Your Pain Management Medical Billing and Coding Processes
Pain management involves a wide range of procedures, interventions, and medications, each requiring specific coding. Successful claim submission requires in-depth knowledge of medical terminology,...
Best Practices for Podiatry Medical Billing and Coding
In the healthcare sector, podiatry is a specialty with unique medical billing and coding challenges. Podiatrists have to deal with diverse foot conditions, and not all services are covered by...
Strategies to Improve Medical Billing and Coding Compliance
Staying compliant with current medical billing and coding practices is vital for healthcare entities to reduce claim errors, avoid any potential legal and financial risks, and thus ensure accurate...
Key Dental Codes and Terminology
CDT stands for Current Dental Terminology, a standardized set of HIPAA dental procedure codes maintained by the American Dental Association (ADA). Understanding CDT codes and terminology is...