The patient experience is everything in today’s rapidly evolving healthcare scenario. Things can be especially overwhelming when it comes to navigating dental insurance coverage. Imagine the patient arriving at their appointment, only to find that their insurance...
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5 Key Ways AI is Revolutionizing Denial Management
Every year, claim denials result in substantial losses for healthcare providers. Managing denied claims is a crucial element in healthcare revenue cycle management (RCM). Agencies handling rejected...
Why Revenue Integrity is Essential for Financial Success in Healthcare
In the fast-paced world of healthcare, maintaining financial stability requires overcoming challenges such as incorrect billing, claim denials, and rising patient payment responsibilities. These...
How to Document and Code Temporal Lobe Epilepsy
Temporal Lobe Epilepsy (TLE) is characterized by seizures originating in the temporal lobes of the brain. The temporal lobes of the brain are areas which process emotions and are important for...
ICD-10 Coding for Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is one of the most common infectious diseases encountered in clinical practice. According to government surveys, CAP accounts for over 4.5 million outpatient and...
Why Is Interoperability Important in Healthcare?
What Is Interoperability in Healthcare? Interoperability in healthcare refers to the ability of disparate health information systems, applications, and devices to connect, access, and exchange data...
Orthopedic Billing and Coding Cheat Sheet: A Complete Guide to Accurate Reimbursement
Accurate orthopedic medical billing and coding is essential to get reimbursed for services rendered. Errors in claim submission can lead to denials and even substantial fines. However, revenue cycle...
Tips to Handle Pediatric Billing Denials
Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and...
Thyroid Disorder Billing and Coding: Key Codes and Compliance Tips
Thyroid disorders include a wide range of conditions affecting the thyroid gland. Managing patients with thyroid disorders requires a comprehensive approach that includes accurate diagnosis,...
Medicare Auditing in 2025: What Providers Need to Know
Medicare auditing is designed to help detect fraud, waste, and abuse while ensuring proper reimbursement. By conducting these reviews, Medicare aims to ensure that healthcare providers are comply...
Medical Coding for Temporomandibular Joint (TMJ) Disorder
Temporomandibular Joint disorder (TMJD) is a condition that causes pain and tenderness in your jaw joints and surrounding muscles and ligaments. According to the National Institute of Dental and...