Are you confusing emergency codes with urgent care? While they might seem similar, ER E/M codes should never be used for urgent care services. Gaps in primary care, expensive emergency department visits, increasing healthcare demands, and investments have made walk-in clinics more popular. In fact, the number of urgent care centers has nearly doubled over […]
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Why write off medical claims when you can partner with a billing company to resolve them? We all know that the quality of healthcare does not depend on a state’s population or size. Michigan has some of the best nationally recognized hospitals in the country. However, its healthcare providers still face problems in payment collections
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With thousands of CPT codes available for different categories, anyone can feel overwhelmed. However, accurately coding procedures is one of the important metrics to ensure timely reimbursements and avoid claim denials. That’s why most healthcare facilities opt to outsource the medical billing and coding to professionals. But, if you want to handle the financial side
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Payers deny medical claims for many reasons. But how many of your claims are rejected due to non-covered services? You are not alone, as this is one of the most recurring problems faced by healthcare providers. Insurers use the CO 50 denial code to flag such claims. However, there is one problem! Non-covered services can
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Virginia, the 12th most populated US state and the 15th best for healthcare access, is home to over 150 medical facilities and hospitals. Inova Fairfax Hospital in Falls Church is the biggest hospital in Virginia and a flagship of the Inova Health System. It is ranked the No.1 hospital in Virginia and the Washington D.C.
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You must have scheduled evaluation and management (E/M) visits for new and established patients frequently in your career. For that, your go-to CPT code ranges must have been 99202-99205 and 99212-99215. But what about CPT code 99211, which sits right at the top of the established patient CPT code range? If you are as intrigued
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A high denial rate can bring down your healthcare practice’s revenue cycle within months, making it a headache to keep your facility’s doors open for services. Because without a steady cash flow, the overhead costs will pile up! Thus, our medical billing experts started a library of denial guides explaining each denial, its resolution strategy,
CO 256 Denial Code Description, Reasons, & Resolution Guide Read More »
According to the data obtained by the Kaiser Family Foundation (KFF), around 1,899 primary care physicians are actively offering their services in Delaware, including internal and family medicine specialists and pediatrics. The National Library of Medicine (NLM) published a paper highlighting a health worker shortage in Delaware. These stats reflect that the practitioners are already
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Various sources have reported that the rate of claim denials for pediatric services is one of the highest among all medical specialties. According to the American Academy of Pediatrics (AAP), the average claim denial rate for pediatricians is 13%, whereas the overall denial rate in the healthcare industry is 5-10%. Unfortunately, many of the claims
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Every healthcare facility, regardless of its orientation (hospital, individual, or group practice), can agree on one thing – the denial rate is the most prominent antagonist impacting its financial health. But, like every good story, there is also a HERO! ‘Billing best practices’ – as 86% of claim denials are preventable. Thus, as a leading
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