Was your claim denied, or did you receive a lower payment than expected? If yes, then it can quickly become mind-boggling to figure out the exact reason for denial, especially if you do not understand the difference between RARC and CARC denial codes. Insurance payers use standardized CARC and RARC codes on the electronic or […]
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Looking to improve your practice’s cash flow in one of the toughest healthcare markets? Outsourcing is your best choice! As one of the ten most populated states, one might expect Georgia to have a flourishing healthcare sector. However, according to the latest Forbes Advisor Study, it is the fifth worst state for healthcare access. With
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California, the most populous U.S. state, is also among the top 10 because of its robust healthcare system. According to the U.S. News and World Report, it is the sixth-best state in the USA for health care. After Texas, California has the second-highest number of “active” hospitals. Definitive Healthcare found that the total number of
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Denials are the speedbreakers in your revenue cycle. They disrupt the pace of cash inflow and can cause revenue leaks if you do not manage or resolve them. PR 204 denial code is no different. It has the same impact on the financial health of your practice as other CARC denial codes. If you want
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Still thinking about your denied claim? Look at the denial code to discover the reason. Each code highlights different issues in your claims, from coverage limitations to incorrect or missing payer information. By understanding the most recurring reasons, you can avoid the patterns or mistakes in your billing process that result in claim rejections. So,
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You don’t take a one-size-fits-all approach with your patients, so why do the same with your revenue cycle? Every medical practice faces unique challenges that affect its cash flow. Pain management facilities are the same. With over 955 active physician groups and countless individual clinics across the USA, pain management is a growing specialty. Unfortunately,
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Are you ready to file your claim? Or have you forgotten an important modifier? Choosing the correct modifier can make all the difference, especially if you have performed several procedures on the same patient and within the same visit. Modifiers offer additional information to payers about a service or procedure. The best part is that
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Struggling to apply the correct CCM CPT codes for initial and extended care? Let us break down the differences so you can choose the right code for every situation. Chronic Care Management (CCM) services are a significant part of primary care. But did you know they are equally beneficial for both practices and patients? While
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2024 has brought many interesting changes, especially in the code set for speech therapy. From eliminating CPT code 92506 and replacing it with four new specific evaluation codes to allowing speech therapists to bill for caregiver training in the absence of patients, the AMA offers a more direct approach toward reimbursements. However, there is one
Speech Therapy CPT Codes for Evaluation and Treatment 2024 Read More »
Just as authors use various circumstances and experiences to provide context in their books, modifiers do the same in medical billing. They provide additional information about procedures or services performed by healthcare providers. Modifiers are concise, two-digit codes that billing specialists pair with HCPCS or CPT codes. They can be alphabetic, numeric, or a combination
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