Did you know that 4 in 10 people have delayed or totally skipped healthcare in the past two years due to cost concerns? Now, imagine a scenario where a patient who has undergone treatment receives a medical bill that is not only unexpected, but incomprehensible. It’s...
Medical Billing
ICD-10 Coding for Atypical Pneumonia – Key Guidelines
Atypical pneumonia is an infectious condition that is caused by bacteria different from the more common ones that cause pneumonia. Also referred to as walking pneumonia, this condition is caused by...
Cost-Saving Strategies for Small and Independent Healthcare Practices
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...
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 orthopedic medical billing and coding is essential to getting reimbursed for services rendered. Errors in claim submission can lead to denials and even substantial fines. However, revenue...
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...