Maryland is the 7th best state in the USA for healthcare access. With a population of over 6.1 million people, the Old Line State is home to 72 hospitals and 10 integrated delivery networks (IDNs). The Johns Hopkins Hospital in Baltimore is the largest hospital in the state, with approximately 1,146 beds and nearly 337,000 […]
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Otolaryngology is a specialized medical field focused on the ears, nose, and throat (ENT). Hence, otolaryngologists are also called ENT specialists and train in both medicine and surgery. While this specialty offers a better work-life balance than others, it is still quite demanding. Otolaryngologists spend considerable time on administrative tasks – around 14 hours per
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Are medical claim denials keeping you on your toes? We understand the struggle you must be going through while trying to juggle your clinical tasks with billing activities. Thus, we decided to help you understand each denial code in detail through our comprehensive guides. This blog is one from this series that will cover everything
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Surprises come in all shapes and sizes. Sometimes, they arrive as denial codes. Have you ever received a claim denial with a code you don’t fully understand? The B9 denial code is one such example. It has a simple description, yet it can be quite confusing for many. Insurance companies often use this code when
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Chronic diseases are a prevailing issue in the United States, as 6 in 10 people are suffering from at least one chronic condition. Thus, in 2015, the Centers for Medicare & Medicaid Services (CMS) introduced a value-based care program, chronic care management (CCM). The CPT code 99490 is a procedural code that you can report
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Was your claim denied, or did you receive a lower payment than expected? If yes, then it can quickly become mind-boggling to figure out the exact reason for denial, especially if you do not understand the difference between RARC and CARC denial codes. Insurance payers use standardized CARC and RARC codes on the electronic or
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Looking to improve your practice’s cash flow in one of the toughest healthcare markets? Outsourcing is your best choice! As one of the ten most populated states, one might expect Georgia to have a flourishing healthcare sector. However, according to the latest Forbes Advisor Study, it is the fifth worst state for healthcare access. With
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California, the most populous U.S. state, is also among the top 10 because of its robust healthcare system. According to the U.S. News and World Report, it is the sixth-best state in the USA for health care. After Texas, California has the second-highest number of “active” hospitals. Definitive Healthcare found that the total number of
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Denials are the speedbreakers in your revenue cycle. They disrupt the pace of cash inflow and can cause revenue leaks if you do not manage or resolve them. PR 204 denial code is no different. It has the same impact on the financial health of your practice as other CARC denial codes. If you want
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Still thinking about your denied claim? Look at the denial code to discover the reason. Each code highlights different issues in your claims, from coverage limitations to incorrect or missing payer information. By understanding the most recurring reasons, you can avoid the patterns or mistakes in your billing process that result in claim rejections. So,
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