When patients walk into a dental office expecting timely care, it can be disheartening for them to learn that their insurance doesn’t cover the treatment they need. Coverage gaps are a common cause of treatment delays in dental practices. According to the American...
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2025 Pediatric CPT Code Updates
As the healthcare industry moves into 2025, pediatricians and medical coders face a fresh set of challenges with updates to the CPT codes. While keeping up with the 2025 AMA CPT revisions for...
What’s the Difference between a New Patient and an Established Patient?
Evaluation and management (E/M) codes apply to visits and services that involve evaluating and managing patient health. E/M services include office and outpatient visits, hospital visits, home...
Why Minimizing Missed Patient Appointments Is Essential for Practices
A common misconception is that missed patient appointments free up time for healthcare professionals to complete other tasks. In reality, missed appointments lead to disruptions in the carefully...
Exploring Insurance Coverage and Medical Billing for Pediatric Dental Services
Navigating the complexities of insurance coverage and medical billing for pediatric dental services can be challenging for dental physicians. The intricacies of insurance policies, claims...
Navigating Bariatric Insurance Predetermination: What Providers Need to Know
Obesity is a persistent health concern in the United States that affects 42% of adults. Bariatric surgery can be life-changing, offering patients the opportunity to significantly improve their...
AMA Announces Changes to Vaccine Codes for 2025
Vaccine codes, such as those for immunizations and related procedures, are subject to frequent updates, especially with the introduction of new vaccines or modifications in billing requirements. The...
Documenting and Coding Attention Deficit Hyperactivity Disorder (ADHD)
Physicians treating pediatric patients often encounter neurodevelopmental disorders, with attention deficit hyperactivity disorder (ADHD) being one of the most common ones. Coding Attention Deficit...
How to Optimize Patient Scheduling for Efficient Billing
Patient scheduling is one of the most critical administrative tasks that have to be implemented efficiently in healthcare settings. It involves several tasks, such as booking appointments, sending...
Top Dental Billing Challenges and Solutions for 2025
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...
Types of Authorizations in Medical Billing
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...