The financial management of healthcare practices is complex. Small mistakes can significantly affect the revenue cycle. However, major disruptions to the healthcare revenue cycle occur because of claim denials. Denial code 13 is among the most frequently occurring denials and stems from a simple error. It not only affects your revenue but also shows clear […]
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Was your appeal denied with CO 286? You might have just missed the deadline! Yes, even appeals have a time limit, and delayed submissions always result in claim denials. Insurance companies use Claim Adjustment Reason Code (CARC) 286 in such cases. If you don’t have a habit of keeping up with payer-specific timelines, you might
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Every medical specialty has its range of CPT codes. These CPT codes provide details of the procedure that the provider performed on the patient. However, selecting the appropriate CPT codes is itself a struggle because most providers struggle to distinguish between them and cannot report the specific one for medical, surgical, and diagnostic services and
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Electroencephalography (EEG) procedures are used to measure electrical activity inside the brain. However, failure to accurately bill for these procedures can significantly strain the revenue cycle of neurology practices. Therefore, our billing experts at MediBillMD decided to dedicate this blog to discussing all the ins and outs of billing one of the EEG procedures covered
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Unsure about the right code for an unattended sleep study? CPT code 95806 is the correct option! Sleep-related breathing disorders are more common than you think, affecting up to 9% of women and up to 31% of men. Unattended sleep study, also known as home sleep apnea testing, has made it incredibly easy to diagnose
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Neurology billing is challenging, especially for electrodiagnostic procedures, due to their complex nature and specific billing requirements. A particularly challenging electrodiagnostic code that many billers get wrong is CPT code 95886. So, how can you bill it correctly? Well, that is what this blog is all about. In this guide, we will discuss in detail
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Cancers are of various types. However, breast cancer is one of the most common cancers. The World Health Organization says that almost 2.3 million women were diagnosed with breast cancer in 2022, and 670,000 died from the disease worldwide. Oncologists who diagnose, treat, and manage this disease often struggle with its billing, leading to claim
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Claim denials disrupt your practice’s revenue cycle, which you may not immediately notice. Beyond the lost money, each denied claim silently burdens your practice. It diverts valuable staff time from patient care and engagement to endless reworks and follow-ups. Also, it creates a growing pile of paperwork that slows everything down. This constant struggle to
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According to the 2022 Physician Workforce Annual Report by the Florida Department of Health, 67 of Florida’s counties have only 10 physicians per 10,000 people. This alarming statistic not only highlights a physician shortage but also hints at the immense administrative burdens related to medical billing and coding that existing providers may face daily. Consequently,
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Medical billing is challenging. That is especially true when it comes to specialized procedures, such as radiation therapy. Billers must manage numerous details for successful reimbursement, including documentation, appropriate modifiers, and correct ICD-10 code usage. A frequently used code in radiation therapy billing is CPT code 77290. This code is particularly challenging to bill due
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