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...
The National Institutes of Health (NIH) concluded that over 20% of Americans (57.8 million) live with some form of mental illness. Treatments include various forms of psychotherapy, medications,...
Revenue cycle management (RCM) in critical care comes with unique challenges that can lead to financial losses if not addressed properly. Critical care billing and coding rules and regulations...
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties, and radiology is no exception. Radiology prior authorization is meant to ensure...
Staying on top of dental coding and billing for surgical periodontal procedures can be a complex task for dental practices. Exceptional dental billing services can overcome the confusion and ensure...
In-house Claim Management Is Difficult Health insurance claims management is a pivotal aspect of running a successful medical practice, directly influencing the patient-provider relationship. The...
Anesthesia is a complex branch of service that comes with its own unique set of standards and procedures. Therefore, it’s no surprise that anesthesia has its own specialized billing process. The...
The healthcare industry is undergoing a radical change marked by the aftermath of the global pandemic, AI revolution, increasing patient expectations, and workforce shortage. In the eye of this...
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every...
The medical billing process consists of certain well-defined steps to ensure smooth and efficient workflow and maximized financial performance. The steps range from patient registration to insurance...
Healthcare receivables or accounts receivable (AR) in medical billing is the total amount of money owed to a healthcare provider by patients, insurance companies, or other payers for services...
