Surgeons are no strangers to the complexities of billing, but one small detail that can make a big difference in reimbursement is the correct use of CPT modifiers for global surgery. If you’ve ever wondered why a claim was reduced or denied despite providing...
Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology practice treats a long-time patient for a routine follow-up and diagnostic...
A successful medical practice has strong foundations in business and non-clinical functions. If you are struggling to manage your billing, appointment scheduling, human resources, and other administrative functions, revamping your practice management could be the...
Irritable Bowel Syndrome (IBS) is a gastrointestinal disorder that affects millions of individuals worldwide. For healthcare professionals, accurately coding IBS-related diagnoses and treatments is essential for effective patient care, billing accuracy, and compliance...
The traditional fee-for-service healthcare model reimburses providers based on the number of services they render, regardless of patient outcomes. On the other hand, in value-based healthcare, payment is determined by the complexity of the patient population that each...
