Trusted RCM and billing partner for physician practices and hospitals. Billed $1B+ over past 20 years for 100+ clients.
Avoiding Insurance Denials: The Hidden Cost of Incomplete Documentation Introduction:Insurance denials can often be traced back to overlooked details in your coding and billing processes. Learn how your practice can prevent denials with smarter diagnosis reporting and better claim alignment. It Starts With the Right Diagnosis – and the Right Timing Too often, practices bill […]
Reanalyzing Payer Contracts in Today’s Evolving Healthcare Landscape Reanalyzing Payer Contracts in Today’s Evolving Healthcare Landscape How Healthcare Practices Can Stay Vigilant and Maximize Reimbursement In an era of rapid changes in healthcare policy and payer behavior, it’s more crucial than ever for healthcare practices to adopt a proactive approach to managing payer contracts. With […]
Dry needling can be a valuable service for patients suffering from chronic pain, but improper coding can result in denied claims or even billing fraud. In this blog post by Svast Healthcare Technologies, we break down CPT codes 20560 and 20561, explain key differences from acupuncture, and share crucial billing tips for Physical Therapy practices. […]
Insurance contract negotiation is one of the more complex challenges that private healthcare practices face. Whether you’re a new provider or an experienced one, the process often feels opaque and inconsistent—and unfortunately, there’s no one-size-fits-all strategy. However, with preparation, persistence, and data-driven insights, healthcare practices can position themselves for better reimbursement rates and stronger payer […]
Why Are Claim Denials on the Rise in Healthcare? In today’s healthcare landscape, it’s estimated that 1 in every 10 insurance claims is denied. While denials can never be entirely eliminated, understanding how and why they happen is key to reducing them. One of the most frequent — and often preventable — denial reasons is […]
10 Essential Tips for Negotiating Payer Contracts 10 Essential Tips for Negotiating Payer Contracts: A Guide for Healthcare Practices Payer contract negotiation is one of the most critical — yet often overlooked — areas in the financial health of healthcare practices. Whether you’re a solo provider or a large multi-specialty group, understanding how to approach […]
Managing claim denials is a crucial part of revenue cycle management for healthcare practices. When claims are denied, it can cause delays in payments, disrupt cash flow, and increase administrative workload. Understanding the common causes of claim denials and how to prevent them can significantly improve your practice’s financial health. Here are six of the […]
Accurate Documentation and Coding for Effective Risk Adjustment Accurate documentation and coding are essential for effective risk adjustment, ensuring that healthcare providers are reimbursed appropriately and that patient care aligns with their clinical needs. In this guide, we’ll highlight common documentation errors and share tips for improving the accuracy of Hierarchical Condition Category coding. Cancer and Metastases […]
Billing in pain management is complex, requiring pain physicians to navigate unique coding challenges, payer requirements, and compliance standards. From proper documentation of single-use vials to understanding Evaluation and Management (E/M) code changes, staying informed on billing practices can directly impact a practice’s revenue and reduce risks of audits and penalties. Here are some critical […]
According to Worldmetrics.org medical billing errors account for an estimated $68 billion in unnecessary healthcare revenue loss. Given this staggering figure, understanding the ins and outs of medical coding and billing becomes crucial for healthcare practices. Accurate documentation of services and procedures during patient visits can make the difference between receiving timely revenue or facing […]
