Effective denial management in medical billing is crucial for ensuring timely reimbursements and minimizing financial disruption for both healthcare providers and patients. A denial occurs when a healthcare insurance company reviews a claim and refuses to provide...
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Ensure Correct Use of Modifiers for Optimal Reimbursement and Compliance
CPT modifiers inform payers about the distinct services and procedures physicians perform. Outsourcing medical billing to an expert would ensure correct coding of claims using the right modifier. In...
ICD-10 Codes for Social Determinants of Health – Latest Developments
The American Hospital Association (AHA) refers to social determinants as societal and environmental conditions such as food, housing, transportation, education, violence, social support, health...
Notable CPT Coding Changes Impacting Neurology in 2019
Coding and billing accurately is critical for the financial health of neurology providers. However, this can be challenging due to complex and frequently changing codes as well as extensive...
Using ICD 10 Codes – Report Highlights Potential for Diagnostic Errors
ICD-10 codes are designed to help physicians make more informed treatment decisions and obtain better information to manage their patient population. Outsourcing ICD-10 coding to an experienced...
Managing the Impact of Seasonality on the Healthcare Revenue Cycle
An increasing number of healthcare organizations have moved from in-house medical billing or revenue cycle management (RCM) to medical billing outsourcing. Technological advancements and changing...
Coding and Billing the Pap Test – Basic Rules
Family medicine and OB/GYNs practices regularly have women come in for their pap and pelvic exam. A Pap test is a simple and quick screening test conducted to obtain a smear of vaginal or cervical...
9 Key Radiology Medical Coding Tips that Coders Should Never Forget
Diagnostic imaging procedures such as x-rays, computer tomography (CT) scans, and Magnetic Resonance Imaging (MRI) have to be reported using the right codes on medical claims. Medical coding...
Revenue Cycle Management a Major Concern for Healthcare Providers, finds New Survey
As a medical billing company, we are focused on helping healthcare organizations manage their revenue cycle effectively. A recent survey by Health Data Management shows that despite the emphasis on...
ICD-10 Codes for Documenting Spondylosis-A Degenerative Condition
Spondylosis is a degenerative condition that may cause potential loss of normal spine structure and function. Also called spinal osteoarthritis, this condition causes changes in the spine such as...
Remote Patient Monitoring – Medicare Coverage and Coding
Remote patient monitoring is an ideal healthcare option for patients as well as physicians to reduce the number of hospital visits and the duration of hospitalization. While telehealth is an...