Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and...
Medicare Auditing in 2025: What Providers Need to Know
Medicare audits are 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...
Key Developments in Medical RCM for 2025
Efficient revenue cycle management is the backbone of any healthcare organization, and it is constantly shaped by emerging trends, technological advancements, and ongoing challenges. Like previous...
Detailed Clinical Documentation Crucial for Accurate Abscess Coding
A skin abscess is a pocket of pus that forms under the skin. Incision and drainage (I&D) is the key treatment for skin and soft tissue abscesses. This minor surgical procedure involves making an...
ICD-10 Codes for Diverticulitis – What Medical Coders Need to Know
Understanding the specific ICD-10 codes for diverticulitis is critical for medical coding and billing services, especially for those specializing in gastroenterology medical coding. Medical coding...
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 CPT codes can be overwhelming,...
Navigating Bariatric Insurance Predetermination: What Providers Need to Know
Obesity is a widespread 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...
How do Medical Billing and Coding Regulations affect Reimbursement in Healthcare Organizations?
Medical billing and coding regulations play a critical role in determining reimbursement in healthcare organizations by ensuring that services provided are accurately documented, billed, and...