5 Main Reasons Your Claims Get Denied

Reasons Your Claims Get Denied

The medical billing process is very complex and has many interlinking factors. The process starts with the patient’s first interaction with the hospital/healthcare facility reception and ends with the doctor getting paid for his service for the patient. Due to the involvement of many parties throughout the process, errors can arise at any point. These … Read more

Does medical cover chiropractors? Health insurance coverage for chiropractic services

Does medical cover chiropractor

Americans have been taking chiropractic services and are affected by neck and spine injuries for the maximum of their life span. According to a Gallup poll survey in 2015, 65% of Americans made appointments to see chiropractors. With the ever-increasing need for chiropractic services, patients with insurance coverage often want to know from their insurer … Read more

Navigating Colonoscopy Coding: Determining the difference between screening vs diagnostic colonoscopy coding

Screening vs Diagnostic Colonoscopy coding

Scheduling a colonoscopy appointment can be a daunting task, as there are various coding considerations to be aware of. It is important to consider the difference between screening vs diagnostic colonoscopy coding when deciding which type of procedure you need. Screening colonoscopies are preventive measures used to detect and remove any potential cancer-causing polyps during … Read more

Why is it Necessary to follow Nephrology Billing and Coding Guidelines?

Nephrology Billing and Coding Guidelines

Ever since the ICD-10 codes have made their presence in the healthcare industry, it has become a compulsion to comply with the requirements. With their implications, complying with the nephrology billing and coding guidelines has become more specific and intricate when it comes to following them. In addition to ICD-10 nephrology billing and coding guidelines, … Read more

When Coding Multiple Wound Repairs in CPT Gets Tough for Medical Billers?

When coding multiple wound repairs in CPT gets tough for medical billers

Correct coding for any practice is necessary for everything. No matter what you are coding for, using the standard procedure of adding CPT codes designated for the specific health condition is necessary for on-time reimbursement. When you are coding for multiple services you rendered after an accident, how and when coding multiple wound repairs in … Read more

Transitional Care Management Services: How to Get Paid

Transitional Care Management Services

It is no secret that Medicare is cutting reimbursement for transitional care management (TCM) services. In fact, the payments have been slashed by almost 50%. This means that practitioners must be even more diligent in ensuring that their claims are submitted correctly if they want to be reimbursed for these services. In this article, we … Read more

The Importance of Medical Coding, Billers, and Coders in The Healthcare Industry

Medical billers and coders perform a very important role in the healthcare industry. Let’s have a look at their responsibilities and how they impact collections.

Medical Billers and Coders play an integral role in the medical industry. They perform most of the behind-the-scene tasks whilst providing a smooth and comfortable experience for the patients. This job’s demand is really high and is expected to increase by 13% by 2026. The role of medical coders and billers is very crucial, however, … Read more

6 Key Revenue Cycle Metrics that Your Practice must Track

revenue cycle metrics

Most medical practices analyze their financial health with a simple analysis of cash flow when it represents only the one aspect of the revenue cycle. Revenue cycle management for practices is a complete process that starts from charge capture, claims submission, accounts receivables, collections and ends up on the analysis of the financial data. It … Read more

Top Reasons Why Your Medical Claims are Rejected or Denied

Why Your Medical Claims are Rejected or Denied

If you are dealing with an increased number of rejected claims every month then you really need to delve deep into the reasons that are causing this havoc, because rejected claims and denied payments not only negatively impact your revenue cycle but in a longer course of time can hamper your business operations. However, you … Read more