Tag: Medical Billing

4 Revenue Cycle Startegies that Conquer Denials Management

4 Revenue Cycle Startegies that Conquer Denials Management

Ensuring effective denial management continues to be the foremost concern for revenue cycle leaders, emphasizing the increasing demand for streamlined processes and vigilant oversight. Over the recent months, there has been a notable surge in challenges related to denials management, presenting a multifaceted and costly issue for revenue cycle leaders. Seeking Cost-Effective Solutions? Explore the […]
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Increase Dental Practice Revenue_ Avoid Coding Errors and Practice Pitfalls

Increase Dental Practice Revenue: Avoid Coding Errors and Practice Pitfalls

Everyone desires to receive fair compensation for their hard-earned efforts. However, inaccuracies in coding and other procedural missteps can inadvertently diminish your earnings. Explore these strategies to boost the revenue of your dental practice. Have you noticed that you’re putting in extra hours but not seeing a corresponding increase in pay? Imagine working 10 hours […]
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Biden Administration Takes Action to Cut Medical Bills from Credit Reports

Biden Administration Takes Action to Cut Medical Bills from Credit Reports

On Thursday, the Biden administration revealed its intention to eliminate medical debt entries from Americans’ credit reports, aiming to put an end to what it views as coercive debt collection strategies affecting a wide swath of consumers. The proposed measures are designed to extend a financial lifeline to families grappling with medical crises, curbing the […]
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Optimizing Revenue Cycle Management: Best Practices and AI Potential

Optimizing Revenue Cycle Management: Best Practices and AI Potential

From the inception to the conclusion of the Revenue Cycle Management (RCM) pipeline, it is imperative for practices to implement enhanced analytics and streamlined workflows. Healthcare providers have grappled with the challenge of receiving proper compensation for their services, and the current reimbursement landscape presents even greater obstacles compared to previous years. Payors are persistently […]
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The New House Bill’s Drive for Healthcare Price Transparency

The New House Bill’s Drive for Healthcare Price Transparency

The Lower Costs, More Transparency bill has been introduced by the House Energy and Commerce Committee to address healthcare cost transparency. The bill’s purpose is to enhance price transparency within the healthcare system. According to survey, over 60% of Americans are living paycheck to paycheck. This implies that they are at risk of facing a […]
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How Medical Coding Automation Enhances Primary Care Practices

How Medical Coding Automation Enhances Primary Care Practices

Physicians are currently facing challenging times. The existing shortage of doctors, compounded by the pandemic, has exacerbated the patient-to-physician ratio. With an increase in patients, there’s a corresponding surge in administrative tasks for doctors. Consequently, this diminishes the time available for patient care and heightens stress levels among physicians. Furthermore, this situation often leads to […]
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How to Bill an E/M With a Minor Procedure

To determine the appropriate use of modifier 25, review this case study in otolaryngology. The Cigna Group has delayed the requirement for submitting documentation with claims that involve a 25 modified offices or other outpatient evaluation and management (E/M) service (CPT® 99212-99215) and a minor procedure. Despite the payer not enforcing this requirement, physician practices […]
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The Top 6 Changes in Medical Billing

The Top 6 Changes in Medical Billing

Table of Contents The Top 6 Changes in Medical Billing Implementation of ICD-11 Increased Use of Telehealth Services Changes in Reimbursement Rates Increased Focus on Patient-Centered Care Greater Emphasis on Data Security Focus on Price Transparency The healthcare industry is constantly evolving, and medical billing is no exception. With the ever-changing landscape of healthcare, it’s […]
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Cigna Updates Modifier 25 Reimbursement Policy

Cigna Updates Modifier 25 Reimbursement Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
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Discover the Top 5 Qualities of a Great Physician Billing Solution

Discover the Top 5 Qualities of a Great Physician Billing Solution

Ensure you make a well-informed choice when selecting a company to manage your reimbursements. Physicians seeking to improve their reimbursement rates, financial performance, operational efficiency, or focus on patient care should consider outsourcing their billing needs. However, choosing the right physician billing service for your practice can be a challenging task, as not all services […]
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