Modifiers are used in medical billing for identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Proper modifier use is crucial in claims submitted for chiropractic treatment. Many providers leverage chiropractic...
In the highly regulated, highly scrutinized healthcare industry, implementing medical billing audits is essential. Whether a healthcare organization is a solo or group physician practice, a hospice,...
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...
Claim denials can be a major source of frustration and financial strain for healthcare providers, increasing the significance of reliable medical billing services. Reports indicate that denials are...
Dental insurance verification and reimbursement for core buildups can be challenging. Dental offices and dental billing companies must be up to date with CDT codes and payer guidelines to ensure...
As the 2024-2025 flu season approaches, it's important for medical practices to be up-to-date on the proper coding and billing procedures for influenza vaccinations. Administering the flu shot is a...
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,...
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...
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...
Anesthesia is a complex branch of service that comes with its own unique set of standards and procedures. Therefore, it’s no surprise that anesthesia has its own specialized billing process. The...
The healthcare industry is undergoing a radical change marked by the aftermath of the global pandemic, AI revolution, increasing patient expectations, and workforce shortage. In the eye of this...