Medical billing and coding regulations play a critical role in determining reimbursement in healthcare organizations by ensuring that services provided are accurately documented, billed, and compliant with payer guidelines. Complying with industry regulations if...
Acne is one of the most common skin conditions in the United States, affecting about 50 million Americans annually. Breakouts appear in the form of pimples, whiteheads, blackheads, or painful...
Umbilical hernias are common and occur in 10 to 20 percent of all children in the US. It is a medical condition that occurs at the umbilicus when a loop of the intestine pushes through the umbilical...
Regarded as a leading cause of tooth loss among children and older people, a fractured tooth is a break or crack in the hard shell of the tooth. Also called cracked tooth syndrome, (CTS), the crack...
Predetermination and prior authorization are processes used by insurance companies to determine whether a patient's treatment or service is covered under their plan. Both processes are components of...
Medicaid programs are predominantly aimed at covering dental services for children and youth under the age of 21. There are certain states that give adult dental benefits. However, there is no...
Pain is a common complaint that physicians of all specialties treat. However, assessment of patients is a challenge as it depends upon self-report measures that, though valid, cannot convey the...
On-time reimbursement from insurers for any medical specialties mainly requires the services of skilled medical coders and billing specialists. They must be knowledgeable in the medical coding...
Earning sufficient revenue to cover overhead expenses and provide quality care is a major challenge for healthcare practices and hospitals. In addition to numerous declining reimbursements,...
Atherosclerosis is a serious cardiovascular condition wherein the arteries are clogged with fatty substances called plaques, or atheroma. Health practices are required to give immediate patient care...
Medical billing companies play a vital role in helping physicians reduce claim denials and enhance the patient experience through strategies such as insurance verification, preauthorization, and...
