Trusted RCM and billing partner for physician practices and hospitals. Billed $1B+ over past 20 years for 100+ clients.
In healthcare practices, one of the most pressing concerns is managing claim denials. Denials not only reduce revenue but also burden staff with additional administrative tasks. For many practices, this challenge is compounded by the increasing number of denial codes and complex reasons for denials. According to industry experts, denials can range from 8% to […]
In New Mexico, Behavioral Health (BH) agencies play a vital role in delivering specialized treatment and training to providers seeking independent licensure. These agencies provide an array of services, from comprehensive community support to opioid treatment programs. To effectively manage the complexities of Revenue Cycle Management (RCM) and credentialing, healthcare practices must stay compliant with […]
Effective pain management is crucial in treating chronic neck and back pain, and Facet Joint Interventions are key procedures in this realm. This guide explores the specifics of coding for these interventions, offering private practices essential information to navigate the complexities of medical billing effectively. Understanding Facet Joint Procedures Facet Joint Interventions target chronic neck […]
In 2024, ophthalmology billing guidelines saw major updates. These changes are reshaping how we manage eye care. It’s crucial for professionals to keep up with the latest ophthalmology coding updates. This helps ensure smooth operations in your practice. The task of mastering eye care coding practices might seem tough. But, this guide aims to simplify […]
This information outlines changes to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes specific to radiology and imaging services for the year 2024. Here’s a breakdown of the key points: New Codes Added for 2024: Ultrasound of pelvis, hips, and spine for bone density measurement: A new code (0815T) has […]
In terms of podiatry medical billing and coding procedures, 2024 is a critical year. It introduces a slew of noteworthy modifications, including updated Evaluation and Management (E&M) descriptions and newly proposed vaccine codes that are pending FDA approval. These changes emphasize how crucial it is to remain knowledgeable and flexible in the always changing healthcare […]
In 2024, there are some important updates in how medical procedures and visits are coded for Ophthalmology Practices. These changes affect various aspects of healthcare, from office visits to surgical procedures and vaccinations. Let’s take a closer look at what’s new and how it might impact medical practices. 2024 CPT Changes Overview for Ophthalmology The 2024 […]
Significant changes to the Current Procedural Terminology (CPT) codes and guidelines for 2024 were announced, affecting OB/GYN medical specialties. Let’s delve into the key modifications: 2024 Gynaecology CPT Changes Overview: Additions: The majority of additions pertain to laboratory medicine, reflecting advancements and expansions in diagnostic procedures. Revisions: Notably, revisions have been made to office visit […]
In the quest to enhance financial performance in medical practices, especially in small settings, the implementation of robust small practice billing strategies is a game-changer. Recognizing the unique challenges independent practitioners face, effective revenue cycle management for independent practitioners is not simply an administrative task; it is critical to the sustainability and growth of their […]
CMS now has requirements, in 38 states, for providing trigger point injections, effective April 1st, 2024. Depending on your Medicare intermediary a highlight of the new rules are: Initial and follow-up treatments. After an initial injection, subsequent treatments are medically necessary if the patient experiences a minimum of 50% pain relief that is consistent for at […]
