Dental insurance verification and reimbursement for core buildups can be challenging. Dental offices and dental billing companies must be up to date with CDT codes and payer guidelines to ensure accurate claim submission. Let’s first take a look at the difference...
Key Dental Billing Tips and Insurance Considerations for Dental Practices
For a dental practice, revenue cycle management is just as important as patient care. Daily dental billing and insurance coverage collections for the services rendered is the fuel that keeps a dental practice profitable. Accurate documentation, timely claims...
What Is the Difference between Insurance Verification and Insurance Authorization?
Suppose that you managed to provide exemplary patient care at your medical practice and your patients leave satisfied with the treatment received, leading to positive feedback and improved health outcomes. However, when you check to see the status of your claim...
Billing and Coding Guidance to Get Flu-Shot Ready for the 2024-2025 Season
As the 2024-2025 flu season approaches, it's important for medical practices to be up-to-date on the proper coding and billing procedures for influenza vaccinations. Administering the flu shot is a crucial part of preventive care, but navigating the complexities of...
Five Compelling Reasons to Outsource Dental Insurance Verification
In dental practices, insurance verification sets the stage for efficient revenue cycle management. According to a Dentistry IQ article, dental insurance checks make up approximately 50% of practice income. However, verifying dental insurance is a labor-intensive and...
How to Code and Bill for Mental Health Services
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, psychosocial interventions and other modalities such as electroconvulsive...
Critical Care Billing and Coding: Guidelines to Avoid Denials
Rules and regulations regarding critical care billing and coding are complex and the process itself is tedious, which makes outsourcing to a good medical billing company a common option. The time spent on providing these services counts when it comes to payment. It is...
Radiology Prior Authorization Challenges: Strategies for Optimizing Workflow and Reimbursement
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 that physicians follow proven guidelines when ordering imaging tests....