There is a time limit for everything, including filing a medical claim. Insurance providers offer varying time limits for submitting medical claims. While some payers have a 90-day limit, others give you a year to file for reimbursements. However, one thing remains constant. Insurance companies set their deadlines based on the date the service was […]
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Healthcare providers have the primary responsibility to care for patients and improve their lives. Dealing with claim processing and handling payer-related issues can be managed in-house, but it is not an ideal situation, given the layers of intricacies involved in the process. Thus, we curated this comprehensive guide on claim scrubbing in medical billing. In
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Don’t let the pain management billing process be a pain for your employees. Healthcare providers know that pain treatments vary with the type of disease. From acute pain and chronic pain to nociceptive pain, the challenge is that there are just as many codes as there are treatments. Billing these procedures requires an effective understanding
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If the complexities of medical coding are keeping you awake at night, it is time to look for a reliable partner. Medical coding and billing is a highly profitable industry. In 2024, the medical coding market size is nearly $22.69 billion, and it is projected to reach $35.63 billion by 2029. The revenue opportunity in
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No matter how much of a medical billing expert you might be, you will have claims denied. Denied claims are a hassle, causing delays, an extra dent in resources, and unnecessary financial setbacks. Every year, $262 billion are denied in medical claims, and sadly, 90% of these denials are preventable. The key is to understand
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Seeing hundreds of patients, managing documentation, processing claims, and following up on payments is not easy when you try to juggle everything in-house, especially if you are a solo practitioner. In such a hectic routine, making mistakes becomes normal. However, getting denials or every claim can exhaust you financially and make it challenging to keep
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Denials and payment delays can negatively impact your healthcare organization’s revenue cycle. Therefore, avoiding denials should be a priority and you must strive to improve your first-pass claim rate because appealing and reworking denied claims require both – time and money. This guide will help you understand denial code CO 11, issues that trigger it,
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Did you just get hit with another denial? If it is the denial code CO 4, then breathe a sigh of relief because your revenue is not lost, just a little delayed. The CO 4 denial is triggered when the procedural code is inconsistent with the modifier used. Although the CO 4 denial code can
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Are you an orthopedic physician struggling with the intricate coding and billing process for your rendered care services? If yes, you have landed at the right guide! This guide is dedicated to answering your billing and coding challenges and helping you rise above the competition. We will discuss the orthopedic billing guidelines to help you
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How can we address the most common denials in medical billing without understanding them? The ideal scenario for any healthcare provider is to receive payments on time. But it has become increasingly impossible with the rise of claim denials. According to an analytical report, the claim denial rate on inpatient treatments and procedures increased by
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