Facing coverage issues for the general health panel? Many payers no longer cover CPT code 80050! Bundling is a common practice in medical billing. Healthcare providers often bill several similar procedures under a single code. It is convenient, time-saving, and cost-effective! However, it is often subject to payer regulations and must be medically necessary. So, […]
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Do you wish to offer healthcare services without getting paid for them? No? Exactly, no one wants to remain unpaid or receive less compensation after providing complete services. Applying wrong CPT codes usually results in denials, causes late payments, and sometimes no payment at all. Hence, all healthcare providers must apply correct CPT codes on
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Healthcare providers frequently face coding issues in the realm of medical billing! So, if you are a healthcare provider or a member of the billing team, our series on various CPT Codes will prove to be a go-to resource for clearing up the coding confusion. In today’s guide, we will cover an ENT procedural code.
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Boston is a global leader in the life sciences and healthcare industry, housing 25 hospitals and 20 community health centers. However, its billing challenges are also quite complex. Let’s be realistic! You cannot handle Boston’s changing regulations on your own, but at the same time, in-house billing teams are quite expensive. Only large healthcare facilities
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Did you know that the medical specialty of radiology has the third highest claim denial rate? According to a survey, the claim denial rate for radiology services is 20% whereas the average denial rate for all specialties combined is between 5% and 10%. And do you know what typically causes these denials? The real culprit
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Creating accurate claims and billing for rendered services is not just an administrative task that you can ignore. It is an integral step that ensures the financial health and operational efficiency of any healthcare facility. Pathology labs often struggle to navigate these intricacies, leading to a high denial rate and uncompensated care. Therefore, we decided
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ENT medical billing, although relatively easy compared to other specialties, can become challenging for some procedures. Why? Because of complex bundling rules. The same procedures may have different CPT codes when combined with other services, whether minor or major. One such code is CPT code 92550. The denial rate for claims with CPT 92550 is
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Fresno is the fifth most populated city in California with around 545,716 residents. More residents mean more patients and more insurance claims. However, there are not many physicians to cater to this huge population. Because of staffing shortages, healthcare providers cannot handle the additional administrative work that comes with medical billing. It takes their focus
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Medical billing requires precision and accuracy. To ensure this precision, insurance payers like Medicare ask billers to append the appropriate modifiers to the appropriate procedural code on the same claim line. One frequently used modifier in podiatry practices is the modifier Q9. Despite its frequent use, many billers face denials. The reason? Ignoring payer guidelines!
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One main challenge that healthcare providers face during financial management is claim denials. Frequent claim denials occur when providers are unable to identify the reasons behind them and prevent the billing errors that trigger them. Even minor coding mistakes and negligence in data entry can lead to claim denials, which significantly impact the practice’s revenue
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