As healthcare expenses continue to rise, implementing proactive cost-saving strategies is no longer a luxury but a necessity for medical practices to survive. Inflation, staff shortages, and lower reimbursement rates from payers are some of the key challenges faced by...
Medical Billing
Artificial Intelligence in Medical Billing: Revolution or Risk?
Did you know that healthcare providers spend an average of $48 to rework a denied claim for Medicare Advantage patients? As the volume of data in the healthcare sector continues to explode, the...
5 Key Ways AI is Revolutionizing Denial Management
Every year, claim denials result in substantial losses for healthcare providers. Managing denied claims is a crucial element in healthcare revenue cycle management (RCM). Denial management services...
Why Revenue Integrity is Essential for Financial Success in Healthcare
In the fast-paced world of healthcare, maintaining financial stability requires overcoming challenges such as incorrect billing, claim denials, and rising patient payment responsibilities. These...
How to Document and Code Temporal Lobe Epilepsy
Temporal Lobe Epilepsy (TLE) is characterized by seizures originating in the temporal lobes of the brain. The temporal lobes of the brain are areas which process emotions and are important for...
ICD-10 Coding for Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is one of the most common infectious diseases encountered in clinical practice. According to government surveys, CAP accounts for over 4.5 million outpatient and...
Why Is Interoperability Important in Healthcare?
What Is Interoperability in Healthcare? Interoperability in healthcare refers to the ability of disparate health information systems, applications, and devices to connect, access, and exchange data...
Orthopedic Billing and Coding Cheat Sheet: A Complete Guide to Accurate Reimbursement
Accurate coding and billing are essential to getting reimbursed for proper reimbursement of orthopedic services. Errors in claim submission can lead to denials and even substantial fines. However,...
Tips to Handle Pediatric Billing Denials
Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and...
Thyroid Disorder Billing and Coding: Key Codes and Compliance Tips
Thyroid disorders include a wide range of conditions affecting the thyroid gland. Managing patients with thyroid disorders requires a comprehensive approach that includes accurate diagnosis,...
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...