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
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...
Medical Coding for Temporomandibular Joint (TMJ) Disorder
Temporomandibular Joint disorder (TMJD) is a condition that causes pain and tenderness in your jaw joints and surrounding muscles and ligaments. According to the National Institute of Dental and...
Common Reasons for Payment Denials and How to Address Them
Did you know that 15% of all claims submitted to payers for reimbursements get denied initially? This stat highlights the significance of effectively addressing an underlying problem: payment...
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 Basal Cell Carcinoma – A Common Type of Skin Cancer
Basal cell carcinoma (BCC) is a condition that causes a lump, bump or lesion to form on the outside layer of your skin (epidermis). It most often appears on areas of the skin that are exposed to the...
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...
Medicare Telehealth Policy Updates for 2025
Telehealth became a mainstay during the pandemic, allowing providers and patients to stay connected when socialization restrictions were in place. In 2025, Medicare’s pandemic-era telehealth...
Anesthesiology Coding: Key Guidelines for Accurate Claims
Anesthesiology coding involves precisely documenting the services provided by anesthesiologists during surgical and procedural care. Accurate coding is crucial for ensuring proper medical billing,...
Understanding the ICD-10 Code for Acute Encephalopathy
Acute encephalopathy occurs due to rapid alteration in brain function and this change in brain function may result from several underlying causes such as infections, toxic exposure or metabolic...