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 focus on identifying, analyzing, and addressing the underlying causes...
The “language of medicine,” as the CPT code set is often referred to, is set to see several updates in 2025. As a provider of medical billing and coding services, we keep pace with these changes to...
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...
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...
Similar to other medical specialties, urology involves various procedures and treatments including outpatient, inpatient, and urgent care, diagnostics, and consultations. Accurate coding for these...
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although...
Radiology covers a wide array of procedures and diagnoses, making billing compliance essential for a successful practice. Navigating the intricate coding, billing rules, regulations, and prior...
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent,...
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...
