Clean claim submission is the ultimate trick to ensure rightful and timely reimbursements from insurance payers. However, healthcare is often tailored to the unique requirements of each patient. As a result, CPT codes sometimes fail to provide the specificity needed for accurate reimbursements. That’s where modifiers come in. They supply additional information to explain the […]
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Payers deny medical claims for many reasons. But how many of your claims are rejected due to non-covered services? You are not alone, as this is one of the most recurring problems faced by healthcare providers. Insurers use the CO 50 denial code to flag such claims. However, there is one problem! Non-covered services can
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Virginia, the 12th most populated US state and the 15th best for healthcare access, is home to over 150 medical facilities and hospitals. Inova Fairfax Hospital in Falls Church is the biggest hospital in Virginia and a flagship of the Inova Health System. It is ranked the No.1 hospital in Virginia and the Washington D.C.
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You must have scheduled evaluation and management (E/M) visits for new and established patients frequently in your career. For that, your go-to CPT code ranges must have been 99202-99205 and 99212-99215. But what about CPT code 99211, which sits right at the top of the established patient CPT code range? If you are as intrigued
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A high denial rate can bring down your healthcare practice’s revenue cycle within months, making it a headache to keep your facility’s doors open for services. Because without a steady cash flow, the overhead costs will pile up! Thus, our medical billing experts started a library of denial guides explaining each denial, its resolution strategy,
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According to the data obtained by the Kaiser Family Foundation (KFF), around 1,899 primary care physicians are actively offering their services in Delaware, including internal and family medicine specialists and pediatrics. The National Library of Medicine (NLM) published a paper highlighting a health worker shortage in Delaware. These stats reflect that the practitioners are already
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Various sources have reported that the rate of claim denials for pediatric services is one of the highest among all medical specialties. According to the American Academy of Pediatrics (AAP), the average claim denial rate for pediatricians is 13%, whereas the overall denial rate in the healthcare industry is 5-10%. Unfortunately, many of the claims
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Every healthcare facility, regardless of its orientation (hospital, individual, or group practice), can agree on one thing – the denial rate is the most prominent antagonist impacting its financial health. But, like every good story, there is also a HERO! ‘Billing best practices’ – as 86% of claim denials are preventable. Thus, as a leading
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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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