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...
Similar to other medical specialties, urology involves various procedures and treatments including outpatient, inpatient, and urgent care, diagnostics, and consultations. Accurate coding for these diverse services can be complex, requiring extensive knowledge of...
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although most health insurance plans cover mental health and substance abuse...
A retrospective study published by the Journal of Hospital Medicine (JHM) identified a more than 50% growth in the adult hospitalist workforce in the US between 2012 and 2019, making hospitalist medicine one of the fastest growing specialties. When it comes to revenue...
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent, and there is always the risk that the request to the insurer to cover...
