Orthodontic Billing & Coding Guidelines
Effective billing and coding for orthodontic services is essential for accurate claims submission and consistent reimburse...
What's Changing in Medicare for the Year 2025
Remember the Inflation Reduction Act of 2022? That was a game-changer for many of us. One of the biggest wins was getting ...
All You Need to Know About Claim Adjudication - A ...
You send off a patient's claim to their insurance company, expecting everything to go smoothly. They review it, and so...
Top 10 Medical Billing Denials That Could Be Costi ...
Medical billing denials are more than just an inconvenience—they’re a financial headache that can bring your p...
Billing Guidelines For CCM Services 2024
Providing effective Chronic Care Management (CCM) requires a deep understanding of the guidelines set forth by CMS. Whethe...
The Ultimate Guide to Pass-Through Billing - Every ...
While maximizing revenue is a goal for any medical practice, it's crucial to do so ethically and within the bounds of ...
The Helpful Role of AI In Medical Billing & Coding
The healthcare industry is no stranger to artificial intelligence (AI). As the AI revolution sweeps across fields, it'...
Par vs Non-Par Provider - Essential Resource Guide ...
Is Medicare participation costing you more than it's worth? Many healthcare providers face a dilemma: staying "in...
What Is ABN In Medical Billing? What You Need to Know
Have you ever received a question from a Medicare patient about an Advance Beneficiary Notice (ABN)? ABNs can be a source ...
What Is Upcoding and Downcoding In Medical Billing?
Coding errors can be a costly headache for any healthcare provider. You've likely heard the terms "upcoding"...
A Deep Dive into HOPD vs. ASC Payment Disparities
The landscape of outpatient care offers patients a choice between hospital outpatient departments (HOPDs) and ambulatory s...
What is a Clinically Integrated Network & Why You ...
The old adage, "Two heads are better than one," rings especially true in healthcare. The healthcare landscape is...
HCC Coding in the Age of Value-Based Care - What Y ...
The shift from fee-for-service to paying for quality outcomes is revolutionizing how you approach patient care and reimbur...
How a Clearinghouse Facilitates Claims Submission ...
Healthcare providers handle a massive volume of claims every day, and a surprising number get denied due to errors. These ...
What is Sequestration In Medical Billing - Is Seq ...
If you've ever received a medical bill, you may have noticed a small deduction marked "sequestration." This ...