Tag: Medical billing and coding

Medical Claims Processing Automation: A Comprehensive Guide

Automating the processing of medical claims offers several benefits such as better efficiency and accuracy, improved customer service, and increased productivity. Medical claims processing is one of the many processes that can be automated through Business Process Automation (BPA). BPA is used by businesses to automate routine, repetitive, and sometimes redundant daily processes. By using […]
Learn More

Top Trends That Impacts Medical Billing Space in 2023

Challenges in the Medical Billing Space Medical coding and medical billing are two distinct yet interrelated tasks in the healthcare industry. Coding is the process of assigning standardized codes to diagnoses and procedures, while billing is the process of submitting claims to insurance companies for reimbursement. One of the biggest challenges in the medical billing […]
Learn More
Common Compliance Mistakes By Doctor

Avoid Four Common Compliance Mistakes: Tips by Doctors

Compliance is a word no one really wants to talk about. It’s boring, you know you NEED a compliance program, but you feel that you’re pretty good with billing and coding, and heck – you’re a smaller group and you think no one is looking over their shoulder at your practice. The government has better […]
Learn More

New Medical Billing Codes You Should Know About

Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year […]
Learn More

Electronic Medical Records Are No Longer In Their Infancy

It’s a New Year, and welcome, 2023! When I still practiced clinically, I once got a job as an emergency physician at a brand-new hospital. I was really excited, because I recognized the opportunity for our department to develop our own best-practice culture. I was hoping the staff would gel in an environment of cooperation, […]
Learn More
Medical Billing Trends 2023

Key Trends in Medical Billing Services for 2023

Due to technological innovation, the healthcare sector faces greater transformation. Adopting new technologies and implementing virtual care brought significant change in Medical Billing. The year 2022 ends with a substantial rise in the adoption of payment systems and the implementation of new technologies in the Medical billing process. In addition, the integration of advanced Medical […]
Learn More

Medical Coding Audits: Trends and Guide for Physicians

You’ve received a request for medical records from a payer, who is going to conduct an audit on your claims. Your Electronic Health Record (EHR) system is excellent, the notes are voluminous, your providers are well-versed at coding. If anything, you under code! You provide excellent care for your patients and achieve great outcomes. No […]
Learn More
Coding Drives Up Medical Billing Costs in the US

Coding Drives Up Medical Billing Costs in US

Another study confirms that medical billing costs in the US significantly exceed those in similar countries, but researchers now know why: coding drives up US administrative spending. Complex coding structures in the US are driving up medical billing costs in the US, making it one of the most expensive countries to get paid, according to […]
Learn More

CPT® 95165 Coding Conundrums

Three tips are all you need to correctly bill allergen immunotherapy, single or multiple antigens. Allergy services, such as those reported with CPT® 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single or multiple antigens (specify number of doses), remain on the radar of third-party payer investigation units […]
Learn More

Medical Coding Uncertain Lesion Excisions With Certainty

  What to do when the pathology doesn’t correlate to the service provided. The rules for cutaneous (skin) excision coding are straightforward: When the pathology for a lesion is benign, code for excision of benign lesion, 11400-11446; and when the pathology for a lesion is malignant, code for excision of malignant lesion, 11600-11646. But in […]
Learn More

Request a Free Quote

    Enter the Captcha: captcha