By converting diagnoses, procedures, and other dental services into standardized codes, dental coding ensures accurate patient data management, enhances care quality, and supports proper reimbursement. With increasing payer scrutiny and regulatory oversight, coding...
It is estimated that around 80% of dental practices experience financial concerns associated with coding errors, billing challenges and insurance denials. These issues not only impact cash flow, but...
Health insurance companies use authorization as a utilization management strategy. Authorizations in medical billing require an evaluation of the medical necessity and cost-of-care implications of...
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...
A common condition prevalent due to significant lifestyle changes and dietary habits, dyslipidemia causes abnormal lipid levels in the blood. A major contributor to cardiovascular diseases, this...
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....
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...
Home health agencies deliver high-quality, personalized care to patients of all ages in the comfort of their own homes. Insurance preauthorization is typically necessary to provide those services at...
The season of celebration is almost here and so is this once-in-a-lifetime opportunity to augment your revenue cycle management (RCM) with Outsource Strategies International (OSI). This holiday...
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...
Claim denials are a silent revenue drain in dental billing, costing practices hundreds of millions of dollars annually. According to the American Dental Association (ADA), around 10% of claims in...
