Getting paid fairly for surgical procedures hinges on accurate coding. This is particularly true for gynecological procedures, where similar but distinct procedures are billed using different CPT codes. Did you know that insurance companies deny nearly 17% of in-network claims? A major cause is incorrect billing and errors in claim submission. This denial rate is […]
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Running a healthcare practice involves more than just patient care. It demands a strong understanding of the rules that govern reimbursement collection. Navigating the world of medical billing can feel complex, but staying compliant is essential for your practice’s financial health and reputation. This guide will break down the core concepts of medical billing compliance.
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The healthcare sector in California is well developed. There are 26 accredited hospitals and thousands of independent healthcare practices in San Diego alone. In-house billing is not possible for all of these healthcare providers. So, many providers outsource their billing operations to professional medical billing companies in San Diego. However, not all of these companies
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Are you receiving incomplete payments because you don’t know the difference between the IUD device and device insertion codes? Let us help you with one of those! Contraceptives are a modern wonder, allowing women to control their reproductive health. If we talk about numbers, around 82% of women of reproductive age (15 to 49) used
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Phoenix, the Valley of the Sun, is known for its dynamic healthcare industry. And why wouldn’t it be? It is the biggest city in Arizona, one of the best states for healthcare quality. However, there is a problem! While Phoenix’s healthcare facilitates better patient outcomes, it creates billing problems for many healthcare providers. The best
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The administrative side of running an acupuncture practice can often feel overwhelming. However, a thorough understanding of the acupuncture CPT codes is crucial for financial success. Moreover, staying informed about the relevant guidelines will be key to efficient billing and revenue cycle management. This guide aims to cover both! That is, we will discuss the
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Medical billers and coders face numerous challenges when filing insurance claims. Small mistakes in CPT code selection can lead to claim denials and a loss in revenue collection. The codes for therapeutic injections and infusions are particularly confusing. Within this category, CPT code 96375 is widely used, yet often billed incorrectly. That is why our
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Instead of staring at different codes, learn what they actually cover to use them accurately! Are you struggling to bill for chemotherapy administration? If you are using an intravenous infusion technique, then we might have just the code for you: CPT code 96413. Approximately 25% of cancer patients in the U.S. receive chemotherapy. However, the
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You may know that MRI detects neurological conditions, but do you know its specific code? Healthcare providers perform nearly 40 million MRIs in the U.S. annually. Many of these tests focus on the brain and surrounding tissues. The most interesting part is that some assessments include contrast material, while others don’t. Coding is all about
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The healthcare industry in the US is seeing a significant shift. Many healthcare practices and hospitals are now outsourcing their billing operations to professional medical billing companies. Currently, the medical billing market is valued at $6.28 billion and is expected to increase with a CAGR of 12% till 2030. Oregon has the most widespread healthcare
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