December Medical Coding Insights are crucial as the year draws to a close, offering valuable information and updates that will significantly impact the industry in the coming months. During December, medical coders, billers, and revenue cycle management (RCM) professionals must diligently prepare for the year ahead. Numerous updates to coding guidelines and emerging trends demand […]
During the hustle and bustle of the holiday season, it’s easy to get distracted by additional activities, leading to accidents and overlooking everyday safety practices that ensure our well-being. Unfortunately, such incidents can make physicians, emergency care, and urgent care providers busier during this time. Treatments for these injuries, often documented using ICD-10 codes for […]
End to end RCM (Revenue Cycle Management) encompasses every step in the healthcare payment process, from patient registration to final reimbursement. By adopting a comprehensive RCM approach, healthcare organizations can improve cash flow, minimize errors, and ensure compliance with ever-changing regulations. This blog will explore the components, benefits, and best practices for implementing an end […]
As 2024 draws to a close, the healthcare industry reflects on a year of groundbreaking innovations, policy shifts, and evolving challenges in medical billing. The Allzone Management Services team has seen first-hand how these changes have improved revenue cycle management (RCM), streamlined processes, and patient satisfaction as a result of these changes. In this newsletter, […]
Accurate ICD-10-CM coding for Pediatric Eye Care becomes straightforward when you know what to look for. With Children’s Eye Health and Safety Month as a timely reminder, it’s an excellent opportunity for pediatric providers to review common eye-related diagnoses seen during vision exams. Here, we’ll guide you through three commonly encountered scenarios in pediatric eye […]
Cryptocurrency benefits medical billing by revolutionizing the industry. It offers a decentralized digital currency that serves as a medium of exchange, similar to traditional money. This innovative approach facilitates secure digital transactions, making counterfeiting nearly impossible due to the robust cryptography employed. Another key advantage is that cryptocurrency operates outside government authority, eliminating taxes or […]
Table of Contents The “Global” Concept Billing the Global Package Modifiers for Split Care Transfer of Care When Not to Use Modifiers 54 and 55 Modifiers: The Key to Accurate Medical Claims Processing To understand these modifiers, it’s essential to first examine the concept of the surgery global period modifiers. All medical procedures with a […]
Healthcare providers and their revenue cycle management (RCM) teams face unique seasonal medical coding challenges during seasonal surges in patient care. These seasonal patterns can generate large volumes of claims that require accurate and efficient medical coding, whether they are caused by flu outbreaks, allergies, or elective procedures scheduled before insurance deductibles reset. Table of […]
The healthcare industry operates under a unique framework. Unlike traditional businesses where customers pay directly for a product or service, healthcare providers navigate a complex system involving multiple players, including payers, claims management, and reimbursements. To Improve Revenue Cycle Management, healthcare providers must understand this intricate system and implement efficient strategies to optimize their revenue […]
Imagine receiving an Insurance Claim Denials notice that states services are not covered or require prior authorization. Table of Contents Requires Prior Authorization Coverage Terminated or Member Not Eligible on the Date of Service Services Performed are Non-Covered Maximum Benefit for This Service Has Been Met Steps for Obtaining Authorization The Importance of Verification and […]