Did you know that the medical specialty of radiology has the third highest claim denial rate? According to a survey, the claim denial rate for radiology services is 20% whereas the average denial rate for all specialties combined is between 5% and 10%. And do you know what typically causes these denials? The real culprit […]
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Creating accurate claims and billing for rendered services is not just an administrative task that you can ignore. It is an integral step that ensures the financial health and operational efficiency of any healthcare facility. Pathology labs often struggle to navigate these intricacies, leading to a high denial rate and uncompensated care. Therefore, we decided
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ENT medical billing, although relatively easy compared to other specialties, can become challenging for some procedures. Why? Because of complex bundling rules. The same procedures may have different CPT codes when combined with other services, whether minor or major. One such code is CPT code 92550. The denial rate for claims with CPT 92550 is
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Fresno is the fifth most populated city in California with around 545,716 residents. More residents mean more patients and more insurance claims. However, there are not many physicians to cater to this huge population. Because of staffing shortages, healthcare providers cannot handle the additional administrative work that comes with medical billing. It takes their focus
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Medical billing requires precision and accuracy. To ensure this precision, insurance payers like Medicare ask billers to append the appropriate modifiers to the appropriate procedural code on the same claim line. One frequently used modifier in podiatry practices is the modifier Q9. Despite its frequent use, many billers face denials. The reason? Ignoring payer guidelines!
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One main challenge that healthcare providers face during financial management is claim denials. Frequent claim denials occur when providers are unable to identify the reasons behind them and prevent the billing errors that trigger them. Even minor coding mistakes and negligence in data entry can lead to claim denials, which significantly impact the practice’s revenue
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Looking for a comprehensive guide to bill CPT code 23472 accurately? You are at the right place! Shoulder arthroplasties are quite common. The Journal of Shoulder and Elbow Surgery has revealed that healthcare providers are going to perform up to 350,558 shoulder replacement procedures in 2025. You might also be an expert at completely replacing
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Did you know that healthcare is the top employer in El Paso’s private sector and a major employer in the public sector? In the private sector, Tenet Healthcare’s system and HCA Healthcare’s system are the two major employers, each employing 5,100 and 2,300 employees, respectively. Contrarily, in the public sector, the University Medical Center of
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In the United States, over 6.5 million people experience some type of chronic wound every year. So, you can understand that the volume of insurance claims for wound care service is also quite high. Healthcare providers cannot afford claim denials for wound care treatments because that would lead to significant financial losses. Claims with CPT
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Debridement procedures keep many billers on their toes. Healthcare providers process millions of wound care claims every year, and guess what? Hundreds of thousands of these claims get denied by insurance payers. The main reason for these denials is misconceptions about the billing codes and human errors while filing the claim. CPT code 97602 is
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