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 potential for mistakes in medical billing is a major risk. With AI...
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The Role of Clearinghouse Services in Medical Billing
What is a Medical Clearinghouse Service? A healthcare clearinghouse is a third-party service that acts as an intermediary between healthcare providers and payers for processing healthcare...
Key Steps in Home Health Medical Billing
The number of Americans aged 65 and older is projected to rise from 58 million in 2022 to 82 million by 2050, a 47% increase, according to the Population Reference Bureau. Home health services...
2025 Pediatric CPT Code Updates
As the healthcare industry moves into 2025, pediatricians and medical coders face a fresh set of challenges with updates to the CPT codes. While keeping up with CPT codes can be overwhelming,...
What’s the Difference between a New Patient and an Established Patient?
Evaluation and management (E/M) codes apply to visits and services that involve evaluating and managing patient health. E/M services include office and outpatient visits, hospital visits, home...
Why Minimizing Missed Patient Appointments Is Essential for Practices
A common misconception is that missed appointments free up time for healthcare professionals to complete other tasks. In reality, missed appointments lead to disruptions in the carefully...
Exploring Insurance Coverage and Medical Billing for Pediatric Dental Services
Navigating the complexities of insurance coverage and medical billing for pediatric dental services can be challenging for dental physicians. The intricacies of insurance policies, claims...
Navigating Bariatric Insurance Predetermination: What Providers Need to Know
Obesity is a widespread health concern in the United States that affects 42% of adults. Bariatric surgery can be life-changing, offering patients the opportunity to significantly improve their...
AMA Announces Changes to Vaccine Codes for 2025
Vaccine codes, such as those for immunizations and related procedures, are subject to frequent updates, especially with the introduction of new vaccines or modifications in billing requirements. The...
Documenting and Coding Attention Deficit Hyperactivity Disorder (ADHD)
Physicians treating pediatric patients often encounter neurodevelopmental disorders, with attention deficit hyperactivity disorder (ADHD) being one of the most common. Accurately assigning the...
How to Optimize Patient Scheduling for Efficient Billing
Patient scheduling is one of the most critical administrative tasks that have to be implemented efficiently in healthcare settings. It involves several tasks, such as booking appointments, sending...