Do you find cardiology billing and coding overwhelming? No judgments! The specialty has its reputation of being complex, and so does the billing and coding workflow. Thus, making mistakes during claim creation is common if you don’t have certified professional coders (CPCs) or billing specialists in-house. But, regardless of how frequently mistakes in claims occur, […]
Most Common Cardiology CPT Codes and Coding Guidelines Read More »
Credentialing in Medical Billing could be the one thing that stands between you and reimbursements. According to the Medical Group Management Association (MGMA), around 54% of medical practices agree that the rate of claim denials has increased because provider’s credentials are not approved by insurance payers. Don’t let this be your story. Learn everything that
Credentialing in Medical Billing – All You Need to Know! Read More »
Is your practice struggling with a high contractual adjustment rate (CAR), affecting your payment cycle and revenue health? If yes, then this guide is for you! We will discuss what this adjustment means, its rate, industry benchmark, group codes, and allowable rate. Some effective strategies have also been shared to help you improve the contractual
Contractual Adjustment in Medical Billing Read More »
Getting your claim denied due to billing errors like incorrect coding and missing or inaccurate information is one thing. But have you ever submitted a claim to the wrong payer? If you have, then you might already be familiar with the CO 109 denial code. Claim denials are a common problem for many healthcare providers,
Ultimate Guide to CO 109 Denial Code Read More »
Not knowing the basics about different coding guidelines can keep your healthcare practice away from realizing its deserved profitability, leading to strained cash flow and inefficient operations. Understanding inpatient and outpatient coding is integral to ensuring accurate billing for rendered care services and getting higher and timely reimbursements. Thus, in this guide, we will discuss
Inpatient vs Outpatient Coding: Understanding the Difference Read More »
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
Ultimate Guide to CO 22 Denial Code Read More »
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
Ultimate Guide to Denial Code CO 167 Read More »
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.
CO 16 Denial Code Description, Causes & Resolution Read More »
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
CO 18 Denial Code Description, Causes & Resolution Read More »
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
Workers’ Compensation Medical Billing & Credentialing Guide Read More »
