Clinical and coding denials may seem similar, but their causes and impact on revenue cycle management are very different. Learn how to address both and prevent costly claim losses.

Are you looking for neurology billing and coding services? This guide explores the challenges, common mistakes, and compliance factors affecting reimbursements. Learn how accurate coding can prevent claim denials, ensure compliance, and enhance revenue cycle efficiency.

Hierarchical Condition Category (HCC) coding is more than a compliance task—it directly influences reimbursement, patient care, and value-based care models. This blog explains what HCC coding is, why it matters, and how both providers and payers can benefit from getting it right.

Coding mistakes cost providers revenue and compliance. Learn how to avoid common ICD, CPT, and modifier errors for cleaner claims and faster payment.

G codes in medical billing ensure accurate reimbursement for specialized Medicare services, from preventive care to telehealth, filling gaps that CPT codes may miss. Understanding their use is essential for smooth billing and compliance.

Learn how global resources are revolutionizing healthcare by tackling medical coding and HIM staff shortages, ensuring seamless operations and improved patient outcomes.

Learn essential pediatric billing and coding practices with our guide. Improve accuracy, avoid denials, and ensure proper reimbursement with expert tips.

Navigating 2024's Strategies for DME Success with Modifiers and Durable Medical Equipment. Achieve mastery in billing accuracy and revenue optimization. Streamline operations with expert guidance. Contact us today to unlock your practice's full potential.

Dive into the intricacies of new patient CPT codes with our comprehensive guide. From decoding coding guidelines to optimizing revenue cycles, gain the expertise needed to navigate medical billing with confidence.

Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.

DRG-based reimbursement (Diagnosis-Related Group), plays a pivotal role in determining the payment healthcare facilities receive for treating Medicare patients. While the primary diagnosis code identifies the main reason for hospitalization, the significance of secondary DX codes in the DRG-based reimbursement process cannot be overstated.

The Florida Legislature recently amended the Florida Electronic Health Records Exchange Act to prohibit certain healthcare providers utilizing certified electronic health record technologies from storing qualified electronic health records outside of the United States, its territories, or Canada.

Healthcare administrative talent will be in short supply for many years, and medical billing and coding offer lucrative career options. This blog discusses the importance of medical coding, the career opportunities it provides, and how medical coding will play a critical role in defining the quality of care.

Our client, a mid-sized hospital group, faced challenges getting reimbursed for ED visits. Sub-optimal client documentation processes led to delayed payments and reduced reimbursements. Our initial analysis revealed that delayed billing was the root cause. We conducted an exhaustive internal audit of 30 physicians working across two facilities in Washington and Florida. In this case study, we highlight how improved clinical documentation and coding quality lead to increased reimbursements.

Claim denials, a chief cause of revenue loss to healthcare practices, are rising across payer types. A primary source of denials is on account of coding-related denials. A comprehensive and focused denial management and appeals strategy will help reduce this revenue loss.

Outsourcing and offshoring the Medical Coding process can give you access to certified coders, reduce denials, improve reimbursements, and plug revenue leakage. Healthcare providers and revenue cycle aggregators must choose the right service providers to improve the coding quality and achieve market-leading outcomes.

The majority of patients require customer support provided by a real person; robots and applications are often disappointing or infuriating. The impact on the healthcare RCM (Revenue Cycle Management) is one of the things that is not expected to reverse any time soon or ever. Click here to learn more on changes in the healthcare system which have posed the biggest challenges to RCM.

With COVID-19 vaccinations now being administered across the United States, we have compiled these medical coding guidelines to account for the treatment and vaccinations for the novel Coronavirus.

Ob/GYN billing & coding can be challenging to most billers & coders due to the global claims, widely varying coverage terms, and multiple tests performed at numerous facilities. Apart from this, many OB/GYN practitioners lack the billing support provided to large hospitals. Learn more about the challenges in Ob/Gyn coding and best practices followed by our coding experts.

Emergency departments are fast-paced environments where care is delivered quickly depending on the patient's condition's criticality. Further, ED does not deal with one specialty per se. ED provides Medical services across specialties. It also requires close coordination of services from when a patient enters an ambulance or an ED facility to discharge, working with multiple clinical practitioners. Learn more about ED coding best practices in this guide from Medical Billing Wholesalers..