Increasing digitization and unorganized workflows in healthcare has fueled the need for efficient revenue cycle management (RCM) solutions. According to Grand View Research, the global RCM market size valued at USD 343.78 billion in 2024 and is expected to touch USD...
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Understanding Revenue Cycle Management in Dentistry
For dental practices, maintaining financial stability is essential for ensuring smooth and efficient operations that maximize revenue and patient satisfaction. Dental revenue cycle management (RCM)...
Differentiating Between Upcoding and Downcoding in Medical Billing
Claim submission and denial management are the two steps that typically comprise the major portion of the medical billing workflow. While these steps are the key to obtaining proper reimbursements...
Understanding Bundling in Dental Claims
Billing for dental services can be a complex process due to the need to understand specific CDT codes, and navigate varying insurance plans, payer policies, and changing regulations. While...
Anesthesia Modifiers and When to Use Them
Understanding anesthesia modifiers and HCPCS Level II modifiers is essential for accurate medical billing and coding. These two-digit codes provide critical information to payers about the...
The Impact of Prior Authorization Requirement on Mental Health Services
Obtaining behavioral health prior authorization has been considered a longstanding obstacle in providing timely mental healthcare. While intended to be used as a cost containment tool by insurers,...
How to Navigate Common Challenges in Claims Management
Medical claims play a crucial role in the healthcare billing system by acting as a bridge between healthcare providers and insurance companies. Running a financially successful medical practice...
Most Common CDT Coding Mistakes
A dentist’s clinical decisions guide the procedures performed, but accurate documentation using the correct CDT codes is crucial for proper claim submission and reimbursement. Every procedure must...
Avoid Dental Coding Errors in Your Claims
Coding is a key step in dental revenue cycle management (RCM) and the basis for efficient dental billing. Even minor dental coding errors can lead to claim denials, revenue loss, or audits. Common...
How to Choose a Reliable Dental Billing Partner
How do you spot a dental billing partner who truly performs? Effective billing is essential for the profitability of any dental practice. However, when your priority is patient care, keeping up with...
Top Challenges Solved by Third-Party Billers
Billing for dental services has become increasingly complex due to constantly changing industry regulations, coding updates, and payer-specific requirements. This can have a serious impact on a...