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 mistakes range from wrong CDT code selection and unbundling to...
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ICD-10 Coding for Thrombophilia: Best Practices & Common Pitfalls
Thrombophilia is a medical condition that increases the risk of developing abnormal blood clots in the veins or arteries. Accurate ICD-10 coding for thrombophilia is crucial for proper...
How to Code Thrombophilia – A Common Vascular Condition
A common vascular disorder, Thrombophilia is a condition where the blood in the veins and arteries has an increased tendency to form clots. The condition refers to a hypercoagulable state - an...
Why Revenue Optimization Matters for the Financial Health of Practices
The financial health of a medical practice directly influences its capacity to invest in the latest medical technology, provide ongoing staff training, and deliver optimal care. Modern patients...
How Outsourcing Medical Coding Drives Healthcare Revenue Integrity
In today’s competitive healthcare environment, financial stability is as critical as clinical excellence. Accurate medical coding is essential for proper reimbursement, compliance, and data...
Why CPT Modifiers Matter in Global Surgery
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...
Regulatory Changes in Medical Billing and Coding for 2025
As we end of the first quarter of 2025, we are already witnessing profound changes driven by a complex set of regulatory updates. The intricacies around medical coding/billing, and submitting a...
Medical Coding for Cardiac Arrest
It is estimated that more than 436,000 cardiac arrest deaths occur each year in the United States. Medical coding for cardiac arrest or heart failure is a crucial aspect of cardiology billing and...
Maximizing Reimbursements: Understanding the Impact of Payer Contracts
Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology...
What Is Lean Healthcare?
The healthcare industry, frequently confronted with a multitude of challenges, inefficiencies, and limitations, is consistently seeking innovative solutions to optimize its processes. As the demand...
Using RCM Analytics to Drive Better Financial Decisions in Healthcare
As healthcare organizations grapple with financial challenges due to rising costs, declining reimbursement rates, and staffing shortages, proper revenue cycle management (RCM) has become more...