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 […]
Understanding the Difference Between RARC and CARC Read More »
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
Modifier 51 vs 59 – What is the Difference? Read More »
Are you having trouble understanding how remote patient monitoring (RPM) is different from remote therapeutic monitoring (RTM) when both provide remote care services to patients? If yes, this guide is for you! In this guide, we will discuss how RTM and RPM are distinct in terms of their functionality, billing guidelines, and coding requirements. We
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Not knowing the basics about different coding guidelines can keep your healthcare practice away from realizing its deserved profitability, leading to strained cash flow and inefficient operations. Understanding inpatient and outpatient coding is integral to ensuring accurate billing for rendered care services and getting higher and timely reimbursements. Thus, in this guide, we will discuss
Inpatient vs Outpatient Coding: Understanding the Difference Read More »
Working in a hospice is rather rewarding. However, healthcare practitioners need a little more than gratitude. They seek rightful payment for their services! Physicians and nurses employed at a hospice usually receive compensation from the government for providing services to terminally ill patients under their Medicare plans. Usually, these professionals use GV and GW modifiers
Hospice Modifiers for Medicare: GV vs. GW Modifier 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 »
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 »
