Billing & Coding Guides

Are you a healthcare facility wondering how to get paid for your ancillary services and patient stays? The UB-04 claim form is the key. It is a standardized form that payers accept for facility-related charges. However, understanding it requires attention to detail. Luckily, this guide covers everything you need to know about it, from its […]

Is sitting on the desk, looking at the claim form, making you nervous because there are so many fields, and especially when two types of provider entries are required, i.e., billing and rendering? We understand this feeling. Medical billing is complex and can confuse even the most seasoned professionals. But you don’t have to worry.

Claim forms, such as the CMS-1500, serve as the backbone of the revenue cycle management (RCM) for healthcare practices. It serves key functions that expand beyond requesting payment for the rendered care services. When you submit the claim form, you initiate the payment collection process. Besides, it acts as a legal document between the provider,

Medical billing is the backbone of any healthcare organization, regardless of its size, specialty, or type. But why is it so? If your medical billing operations are not seamless, you will have higher denials, unsteady cash flow, aging accounts receivable, and a strained revenue cycle. Ultimately, unnecessary write-offs will become inevitable, and eventually, it will

Healthcare is becoming more accessible with over 6,300 Medicare-certified ambulatory surgery centers (ASCs) around the USA. In 2023, the market size for US-based ASCs was valued at 36.51 billion, and it is projected to reach 57.32 billion by 2031.  With such tremendous growth on the horizon, it is imperative that you understand the implications of

Payment delays, increased claim denials, and lost revenue! Sounds familiar, right? Every step of the healthcare revenue cycle is important. A single oversight at any stage can result in billing and coding mistakes.  In fact, revenue cycle management (RCM) inefficiencies can be quite costly. According to McKinsey, a global consulting firm, healthcare organizations lose 15

The old healthcare practices were all about improving patient care. But nowadays, healthcare providers must maintain good relationships with patients while managing documentation. So, how much time do you spend on recording everything versus on your patients? It is quite challenging for many clinicians to balance both tasks. Prioritizing one over the other can lead

How efficiently do you address your EMR challenges? Over 90% of US hospitals have switched to electronic medical records (EMRs). While this shift from paper-based systems has brought numerous advantages, such as improved operational efficiency and reduced human errors, it has also introduced new challenges. Did you know that most of them are related to

Over 70,000 codes in the ICD-10-CM coding system can easily overwhelm healthcare providers. They find it challenging to follow the guidelines and use these diagnosis codes accurately. Believe us, we understand the struggle.  That’s why our coding experts curated a comprehensive blog explaining the ICD-10-CM guidelines in easy-to-understand words. So, if you are a healthcare

Feeling worn out by recurring claim denials? You are not alone! It is quite normal to feel overburdened and stressed due to mounting administrative tasks. But don’t let this stress get in the way of your work! Unfortunately, financial, administrative, and systematic issues, like increasing costs and staffing shortages, have made healthcare delivery increasingly difficult