Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology practice treats a long-time patient for a routine follow-up and diagnostic...
Medical Billing
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...
Key CPT Coding Updates for General Surgery in 2024
When compared to other specialties, billing and coding for general surgery can be especially complex. There are a wide range of major and minor surgical procedures, each with an extensive set of...
Medical Coding and Billing Challenges in Neurology
Billing and coding for neurology practices pose unique challenges due to the complexity of neurological disorders, intricate documentation requirements, need for regulatory compliance, and the...
Why are Internal Audits Critical for Medical Billing and Coding Compliance?
In the highly regulated, highly scrutinized healthcare industry, implementing medical billing audits is essential. Whether a healthcare organization is a solo or group physician practice, a hospice,...
Tips to Always Succeed with Claim Submission and Maximize Reimbursement
Every medical practice needs to have effective processes and policies to maintain its financial well-being. That’s where success with claim submission plays a crucial role. However, denials are on...