Category: Blog

ICD-10 MS-DRGs Version 43.1

ICD-10 MS-DRGs Version 43.1 Effective April 1, 2026

The Centers for Medicare & Medicaid Services (CMS) will introduce 80 new procedure codes to the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective April 1, 2026. The ICD-10 MS-DRG Grouper continues to assign each inpatient case to an appropriate MS-DRG based on reported diagnosis and procedure codes, along with demographic details […]
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Denial Management services in medical billing

Denial Management in Medical Billing: Root Causes & Prevention Strategies

Medical claim denials continue to pose a serious challenge for healthcare providers striving to maintain steady cash flow and financial stability. As payer policies become increasingly complex, documentation standards tighten, and reimbursement models evolve, even a minor oversight in billing or coding can result in delayed payments or lost revenue. Effective denial management in medical […]
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Dental CPT code

Dental CPT Codes Guide: A Complete Overview for Accurate Dental Billing

Dental billing plays a crucial role in ensuring dental practices receive timely and accurate reimbursement. One of the most important components of dental billing is the correct use of Dental CPT Codes. These standardized codes help translate dental procedures into a universal language understood by insurance payers. Errors in coding can lead to claim denials, […]
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RCM Challenges

Top Revenue Cycle Management Challenges Hospitals Face in 2026

Introduction As healthcare continues to evolve, hospitals in 2026 are facing unprecedented financial and operational pressures. From rising administrative costs and workforce shortages to stricter payer policies and increasing patient financial responsibility, hospitals must navigate a complex and constantly shifting landscape. At the center of these issues lies the revenue cycle—a critical function that directly […]
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Outsourcing Medical Billing services

Medical Billing Services Outsourcing for Healthcare Providers

In today’s complex healthcare environment, providers are under constant pressure to deliver quality patient care while managing rising operational costs, regulatory changes, and shrinking reimbursement margins. One of the most challenging aspects of running a healthcare practice is handling the revenue cycle efficiently. This is where medical billing services play a critical role. Many healthcare […]
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GV vs GW Modifier

Hospice Modifiers for Medicare: GV vs. GW Modifier – Complete Guide

Introduction Hospice care billing under Medicare comes with unique compliance challenges, especially when non-hospice providers deliver services to patients enrolled in hospice. One of the most common sources of claim denials in this scenario is the incorrect use of hospice modifiers, specifically GV and GW modifiers. Understanding the difference between GV vs. GW modifiers is […]
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H00–H59 Eye & Adnexa Disorders

H00–H59: Eye & Adnexa Disorders – A Complete ICD-10-CM Coding Guide

Eye and adnexa disorders are among the most frequently reported conditions in ophthalmology, optometry, emergency medicine, and primary care settings. Accurate coding for these conditions is essential not only for clinical documentation but also for timely reimbursements and compliance with payer guidelines. The ICD-10-CM code range H00–H59 is dedicated to Diseases of the Eye and […]
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IRS Forms 1095-A 1095-B 1095-C

IRS Forms 1095-A, 1095-B, and 1095-C: A Complete ACA Compliance Guide

As healthcare compliance and reporting requirements continue to evolve, IRS Forms 1095-A, 1095-B, and 1095-C play a critical role in documenting health insurance coverage under the Affordable Care Act (ACA). For healthcare providers, medical billing companies, and Applicable Large Employers (ALEs), understanding these forms is essential to avoid penalties, ensure accurate reporting, and maintain regulatory […]
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Neurology HCPCS codes cheat sheet

Neurology HCPCS Codes Cheat Sheet: A Complete Guide by Allzone

Neurology practices face some of the most complex billing challenges in healthcare. From high-cost injectable drugs and neurostimulator devices to DME, infusion services, and Medicare-specific requirements, accurate HCPCS coding is critical for clean claims and timely reimbursement. Even a minor coding error can trigger denials, audits, or delayed payments. This Neurology HCPCS Codes Cheat Sheet […]
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Chiropractic CPT Codes

Chiropractic CPT Codes List Guide: How It Helps Healthcare Providers

Accurate medical coding is the foundation of successful reimbursement, especially in chiropractic care where services are highly regulated and payer scrutiny is strict. For chiropractors and medical billing companies, understanding and correctly applying chiropractic CPT codes is essential to avoid denials, ensure compliance, and maintain steady revenue flow. This Chiropractic CPT Codes List Guide by […]
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