The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) coding system, the standard for classifying diagnoses and inpatient procedures which is crucial for clinical documentation and billing, brings a fresh set of changes for FY...
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Key Dental Billing Tips and Insurance Considerations for Dental Practices
For a dental practice, revenue cycle management is just as important as patient care. Daily dental billing and insurance coverage collections for the services rendered is the fuel that keeps a...
What Is the Difference between Insurance Verification and Insurance Authorization?
Suppose that you managed to provide exemplary patient care at your medical practice and your patients leave satisfied with the treatment received, leading to positive feedback and improved health...
Billing and Coding Guidance to Get Flu-Shot Ready for the 2024-2025 Season
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...
Five Compelling Reasons to Outsource Dental Insurance Verification
In dental practices, insurance verification sets the stage for efficient revenue cycle management. According to a Dentistry IQ article, dental insurance checks make up approximately 50% of practice...
How to Code and Bill for Mental Health Services
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,...
Critical Care Billing and Coding: Guidelines to Avoid Denials
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...
Radiology Prior Authorization Challenges: Strategies for Optimizing Workflow and Reimbursement
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties, and radiology is no exception. Radiology prior authorization is meant to ensure...
Dental Coding for Surgical Periodontal Procedures
Staying on top of dental coding and billing for surgical periodontal procedures can be a complex task for dental practices. Exceptional dental billing services can overcome the confusion and ensure...
Is Claims Management Outsourcing a Necessity or a Luxury?
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...
Common Challenges in Anesthesia Billing
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...