Effective denial management in medical billing is crucial for ensuring timely reimbursements and minimizing financial disruption for both healthcare providers and patients. A denial occurs when a healthcare insurance company reviews a claim and refuses to provide...
Medical Billing
Demand for Chiropractic Care is Growing – Ensure Accurate Chiropractic Medical Billing for Optimal Reimbursement
Recent reports indicate positive trends for the field of chiropractic, the hands-on, drug-free approach to health care. According to the Port Herald, market analysts predicted that the chiropractic...
Top Challenges in ASC Medical Billing and Strategies to Deal with Them
The ambulatory surgical center (ASC) market has expanded rapidly in recent years. Due to insurance limitations and increasing health costs, more people are turning to the outpatient setting for...
Coding Trigger Point Injections as a Medical Billing Company
As an experienced medical billing company, we handle claims submission for all specialties including pain management. Just as other medical specialties, billing and coding for pain management is...
Coding Varicose Vein Treatment
Varicose veins are a common condition treated in physicians' offices and hospital outpatient departments. Several types of procedures are used to treat incompetent veins. Medical coding outsourcing...
Strategies to Overturn and Prevent Medical Necessity Denials
Hospitals and other healthcare organizations are under continuous financial stress and various operational challenges in the post COVID-19 era. Among them, medical necessity denials is a persistent...
Improper Medical Billing Inflating Medicare Beneficiaries’ Out-of-Pocket Costs
According to the Centers for Medicare and Medicaid (CMS), more than 8.8 million Americans were signed up for 2017 coverage through HealthCare.gov as of January 14, 2017, up from 8.7 million on the...
Proactive Strategies to Manage Claims Underpayments
New regulations, ICD-10 codes, and value-based care are aimed at improving improve care delivery. However, as experienced medical billing companies know, physicians' practices and hospitals need...
How to Meet MACRA Quality Metrics for COPD Treatment
MACRA, the Medicare Access & CHIP Reauthorization Act and its related payment system reward value of care and is impacting the revenue of hospitals, clinics, physicians' practices. Reporting for...
How to Improve Revenue Cycle Management in 2018
In this transitional scenario where the industry is moving from fee-for-service to value-based payment, healthcare providers need novel strategies to optimize reimbursement. The following best...
Ensuring Billing Compliance for Urine Drug Testing
The use of urine drug testing has expanded exponentially as it is a great tool for providers to track compliance, identify drug abuse, and encourage patients to stay away from illicit or...