Ever-changing regulations, complex reimbursement trends and shifting payer landscapes have made effective dental revenue cycle management (RCM) foundational for a practice’s financial success. Dental RCM is a comprehensive process that covers all administrative and...
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2025 Updates to ICD-10-CM Codes: Key Changes
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) coding system, the standard for classifying diagnoses and inpatient procedures which is crucial for...
Five Best Practices for Conducting Insurance Eligibility Checks
In the healthcare sector, where providers need to deliver excellent patient care while ensuring financial stability, insurance verification and authorization services play a critical role. Without...
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...
Dental Insurance Verification: Best Practices for Success [Updated for 2025]
Insurance coverage issues are one of the primary reasons for dental claim denials, which can lead to significant financial disruption for practices. Implementing best practices for dental insurance...
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...
Gastroenterology Billing and Coding Insights: Recent Developments and 2025 Updates
Staying ahead of billing and coding changes is essential to run a successful gastroenterology practice. As a gastroenterology medical coding company, we help gastroenterologists report their...
Challenges and Key Steps in Bariatric Surgery Insurance Verification
Obesity is a common and chronic medical condition that increases risk of diabetes, high blood pressure, heart disease, stroke, certain cancers, and musculoskeletal disorders. According to the CDC,...
Why Do Insurance Companies Require Prior Authorization?
What Is Prior Authorization? Prior authorization, also known as ‘prior auth’ or P.A or pre-certification, is a standard management process in the healthcare industry where a healthcare provider gets...
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...