Anesthesiology coding involves precisely documenting the services provided by anesthesiologists during surgical and procedural care. Accurate coding is crucial for ensuring proper medical billing, securing appropriate reimbursement, and maintaining compliance with...
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Importance of Insurance Verification in Dental Practices
Dental practices strive to provide high-quality dental services and exceptional patient care while handling numerous challenges such as patient expectations, technological shifts, staff shortage and...
How to Write an Appeal Letter to Insurers for Prior Authorization Denial
Precertification, or insurance prior authorization, is the process of seeking approval from the patient’s health care plan before moving forward with the treatment. In the complex world of...
How to Avoid Medical Coding Audits
Healthcare providers need to commit to medical coding best practices to minimize coding errors and ensure compliance with coding guidelines. Failure to meet the medical coding legal and regulatory...
Billing and Coding Tips for Spine and Pain Management
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...
What Can Be Done If A Prior Authorization Is Denied?
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,...
What Are the Steps Involved in the Pharmacy Prior Authorization Process?
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...
Understand the Key Elements of ‘Incident-to’ Billing
Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under...
Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal
When coding for foreign body removal, it is necessary to evaluate all the potential CPT codes. After careful examination, select the most relevant codes that accurately reflect the treatment...
Navigating Pain Management Billing and Coding: Challenges and Proven Best Practices
Pain management practices face several unique medical billing challenges. Accurate billing and coding is essential for proper reimbursement and compliance, but can be challenging due to the...
Key Considerations for Coding and Billing Hospitalist Services
Hospitalists play a crucial role in patient care, especially in inpatient settings. Hospital medicine practice requires using specific medical codes for billing medical services. Hospitalists often...