Staying compliant with current medical billing and coding practices is vital for healthcare entities to reduce claim errors, avoid any potential legal and financial risks, and thus ensure accurate...
Medical Coding and Billing Challenges in Neurology
Neurology billing and coding pose unique challenges due to the complexity of neurological disorders, intricate documentation requirements, need for regulatory compliance, and the healthcare system...
Tips to Always Succeed with Claim Submission and Maximize Reimbursement
Every medical practice needs to have effective processes and policies to maintain its financial well-being. That’s where success with claim submission plays a crucial role. However, denials are on...
What Is the Difference between Insurance Verification and Insurance Authorization?
Suppose that you managed to provide exemplary patient care at your medical practice and your patients leave satisfied with the treatment received, leading to positive feedback and improved health...
How to Code and Bill for Mental Health Services
The National Institutes of Health (NIH) concluded that over 20% of Americans (57.8 million) live with some form of mental illness. Treatments include various forms of psychotherapy, medications,...
Critical Care Billing and Coding: Guidelines to Avoid Denials
Rules and regulations regarding critical care billing and coding are complex and the process itself is tedious, which makes outsourcing to a good medical billing company a common option. The time...
Is Claims Management Outsourcing a Necessity or a Luxury?
In-house Claim Management Is Difficult Health insurance claims management is a pivotal aspect of running a successful medical practice, directly influencing the patient-provider relationship. The...
Effective Strategies to Obtain Prior Authorizations
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every...
Proven Strategies to Boost Revenue in Healthcare & Maximize Profits
It can be a challenge to run a successful practice while also providing high quality patient care. In order to thrive in an increasingly competitive market, your medical practice needs to adopt...