Is denial code 23 affecting your healthcare practice’s revenue cycle? Don’t fret! We understand your concerns. We have come up with this comprehensive guide to discuss the reasons that trigger this denial code and share some best practices to help you avoid it. In case your claims get tagged with denial code 23, our resolution […]
OA 23 Denial Code: Description, Reasons & Solution Read More »
Artificial intelligence (AI) and automation are revolutionizing almost every industry, and healthcare is no different. However, not everyone can gauge its full potential. It is impossible to cover all the facets of healthcare that could benefit from this technology in a single blog. BUT! As a healthcare provider, you must be concerned with keeping your
Healthcare Revenue Cycle Management (RCM) Automation Read More »
It has been brought to our attention that there is quite a bit of confusion surrounding CO 253, a Claim Adjustment Reason Code (CARC) that appears on the Remittance Advice (RA) when Medicare sequestration, a 2% reduction to the final amount, is applied to a Medicare Fee-for-Service (FFS) claim. Often perceived as the CO 253
Is CO 253 Really a Denial Code? Let’s Clear the Confusion Read More »
Are you confused about how to evaluate your medical billing workflow performance? Key performance indicators (KPIs) for medical billing are the solution you are looking for! These metrics can help you identify areas of improvement and optimize your process for optimal results. The next question that pops into your mind must be, HOW? Don’t worry!
KPIs and Metrics to Track Medical Billing Performance Read More »
Did you know that medical billing is only a single element of revenue cycle management (RCM)? However, both of them are essential for sustaining your practice. While medical billing specifically deals with medical claims, RCM is a comprehensive financial process. It optimizes the entire financial arm of a practice to maximize revenue. We all understand
Medical Billing vs. Revenue Cycle Management Read More »
You may find it hilarious and ask why a healthcare practice would downcode their services. BUT! It is a significant medical billing error that can impact the healthcare facility’s financial health, hurt patient care, and lead to legal repercussions. Thus, we have curated this comprehensive guide to help you understand downcoding in medical billing. We
Downcoding in Medical Billing and Its Impact on RCM Read More »
The dermatology industry is booming. Thus, as a dermatology practice or a dermatologist, you may have experienced patients crowding your front door as the demand upticks. This rise in demand should have positively impacted your revenue, but if it’s the other way around, you may need to take a step back and analyze what is
Dermatology CPT Codes and Billing Guidelines 2024 Read More »
What is upcoding in medical billing? Well! It is a coding error that can make insurance companies pay more than what they owe the provider. But things are not as simple! This coding error can also be termed fraudulent activity, costing you your reputation and resulting in heavy penalties, such as cancellation of your practice
What is Upcoding and Unbundling in Medical Billing? Read More »
Identifiers are necessary for processing online information. An entity code is exactly that! This medical identifier labels different entities (individuals) involved in the billing process, including healthcare providers, such as doctors, hospitals or clinics, patients, insurance companies, or a third-party billing service. If you are a healthcare or medical billing professional, you might already understand
What is an Entity Code in Medical Billing? Read More »
Hospital and professional billing are a part of medical billing, but both are used in different settings and for different services. This guide will break down the key differences between hospital billing and professional billing and how they can be used in combination in different scenarios. What’s more? Both professional billing and hospital billing services
Hospital Billing vs. Professional Billing Read More »
