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,
CO 256 Denial Code Description, Reasons, & Resolution Guide Read More »
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
PR 227 Denial Code Description, Reasons & Resolution Guide Read More »
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
OA 277 Denial Code: Description, Reasons & Solution Read More »
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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