Insurance policies are already quite complex. To make matters worse, around 43 million people (mostly senior citizens) have more than one insurance plan, according to the United States Census Bureau. Due to this, many healthcare professionals fail to identify their patients’ primary and secondary insurance coverages. As a result, they submit claims to the wrong […]
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Understanding the alphanumeric denial codes is your key to contesting the rejected reimbursement. In today’s guide, we will decode the CO 167 denial code and help you comprehend why a payer triggers it, what can be done to prevent it, and how you can reverse it. So, brace yourself as we navigate the maze of
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As a healthcare provider, you spend most of your time seeing and tending to patients. Charting patient symptoms, drawing diagnoses, and deciding on the best treatment plans while keeping the patient engaged are necessary to keep your MIPS score high. Already, keeping the billing and payment cycle optimized for faster reimbursements is a constant struggle.
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Claim denials and reimbursement delays can keep any healthcare provider up at night. It is not a secret that these problems compromise the quality of the services and hinder the financial growth of a practice. Among various billing errors, duplicate claims are the most frequent problem. Insurance companies use the CO 18 denial code to
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Yes, we understand your hands are full of patients needing care services. You are occupied with charting their symptoms, diagnosing the illness, selecting the appropriate treatment plan, documenting, processing claims, and posting payments. In all this, navigating workers’ compensation billing and credentialing can exhaust you! Thus, we have prepared this guide to act as a
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There is a time limit for everything, including filing a medical claim. Insurance providers offer varying time limits for submitting medical claims. While some payers have a 90-day limit, others give you a year to file for reimbursements. However, one thing remains constant. Insurance companies set their deadlines based on the date the service was
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Healthcare providers have the primary responsibility to care for patients and improve their lives. Dealing with claim processing and handling payer-related issues can be managed in-house, but it is not an ideal situation, given the layers of intricacies involved in the process. Thus, we curated this comprehensive guide on claim scrubbing in medical billing. In
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Don’t let the pain management billing process be a pain for your employees. Healthcare providers know that pain treatments vary with the type of disease. From acute pain and chronic pain to nociceptive pain, the challenge is that there are just as many codes as there are treatments. Billing these procedures requires an effective understanding
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If the complexities of medical coding are keeping you awake at night, it is time to look for a reliable partner. Medical coding and billing is a highly profitable industry. In 2024, the medical coding market size is nearly $22.69 billion, and it is projected to reach $35.63 billion by 2029. The revenue opportunity in
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No matter how much of a medical billing expert you might be, you will have claims denied. Denied claims are a hassle, causing delays, an extra dent in resources, and unnecessary financial setbacks. Every year, $262 billion are denied in medical claims, and sadly, 90% of these denials are preventable. The key is to understand
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