Is a high claim denial rate stopping your practice from embracing the financial success it deserves? Are you worried that if you don’t take action soon, you might have to lay off staff or close your practice doors? BUT! Why go to this extreme when you can understand different denial codes, work towards their successful […]
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How frequently do billing complications distract you from your core duties? Billing is undoubtedly a time-consuming and frustrating process. That’s why many successful practices, hospitals, and physicians in Houston turn to billing companies to reduce their administrative burdens. But what exactly should you look for in a billing company? With the largest medical center in
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San Antonio has a robust healthcare system with 27 major acute-care hospitals. These numbers are evidence of the city’s growing healthcare needs. Besides, constantly constructing new facilities to meet the demands further complicates medical billing and revenue cycle management (RCM) because accurate and efficient billing is crucial for the financial health of these institutions. Therefore,
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We all need mentors or coaches in our personal as well as professional lives who will assess our performance, give us critical feedback, and help us create and put efficient systems in place for continued growth and development. External billing auditing teams are the guiding force that healthcare practices need for optimized billing workflows, a
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Choosing the accurate code from so many thoracic surgical procedure codes can be overwhelming! But not if you carefully review the descriptors of the CPT codes and pick the ones that describe the rendered services precisely. Yes, we understand that for some thoracic surgeons, trying to handle their medical billing activities, such as charge entry
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Are you familiar with the specific diagnostic codes for rheumatology? The billing process for rheumatology is as complex as rheumatology conditions. Insurance companies require you to be always ahead of two things, frequent regulatory changes and documentation requirements, to collect complete payments. The most difficult part? Accurate coding! Rheumatologists diagnose and treat various conditions, each
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Feeling worn out by recurring claim denials? You are not alone! It is quite normal to feel overburdened and stressed due to mounting administrative tasks. But don’t let this stress get in the way of your work! Unfortunately, financial, administrative, and systematic issues, like increasing costs and staffing shortages, have made healthcare delivery increasingly difficult
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Federally qualified health centers (FQHCs) act as a safety net for underserved areas or populations. These healthcare facilities are mostly funded. Federal insurance plans such as Medicare and Medicaid cover the medical and mental health services provided at these health centers. Moreover, some third parties, like Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and
Common HCPCS Codes for FQHC & Billing Guidelines Read More »
Las Vegas, known as the Entertainment Capital of the World, is also the city in Nevada with the most number of hospitals. Seven of the state’s ten general hospitals are in Las Vegas, including Sunrise Hospital and Medical Center, which has over 700 beds and, for the past 55 years, has been serving the local
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Plastic and reconstructive surgery medical billing is more complex than other specialties. Most of the time, cosmetic procedures are non-reimbursable by insurance companies (Medicare, Medicaid, and other private payers). This issue mostly arises due to insufficient supporting documentation justifying the medical necessity and appropriateness of the performed surgical procedure. If you are tired of the
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