Pain management practices are a vital component of modern healthcare, addressing complex patient needs and contributing significantly to the overall quality of life for individuals suffering from chronic pain. However, the success of these practices relies not only on excellent patient care but also on efficient and accurate medical coding. This article delves into the […]
Effective Coding and Billing for Depo Injections
The American Medical Association (AMA) manages the Current Procedural Terminology (CPT) codes, which are pivotal in documenting various medical procedures and services. Within OB/GYN, these codes play a crucial role in accurately billing for antepartum, delivery, and postpartum phases of maternity care. Understanding the Challenges of Delivery Coding Coding for deliveries in OB/GYN presents unique […]
Delivery Codes in OB/GYN Medical Coding
The American Medical Association (AMA) manages the Current Procedural Terminology (CPT) codes, which are pivotal in documenting various medical procedures and services. Within OB/GYN, these codes play a crucial role in accurately billing for antepartum, delivery, and postpartum phases of maternity care. Understanding the Challenges of Delivery Coding Coding for deliveries in OB/GYN presents unique […]
3 Effective Strategies for Increasing Patient Payment Collections
In today’s healthcare landscape, managing the revenue cycle is crucial for the sustainability of any medical organization. The financial health of a practice hinges on effective patient payment collections. If your practice is diligent in sending out statements but faces challenges in collecting payments, it will inevitably affect your bottom line. To ensure the financial […]
Denial Code CO45 in Medical Billing: Causes, Corrections, and Collections
According to AARP, nearly 15 percent of all claims get denied, amounting to over 200 million claim rejections each day. However, there are ways to avoid claim rejections and keep your revenue flowing. One common denial that healthcare organizations often struggle with is denial code CO-45. This article aims to provide a comprehensive understanding of […]
Understanding Denial Codes CO11, CO15, and CO16: Tips for Reducing Claim Denials
Medical billing is a complex and often challenging aspect of healthcare administration. According to a survey conducted by the American Hospital Association, 89% of respondents reported an increase in their medical billing payment denials, with 51% noting a significant rise in such denials. Navigating the intricacies of claim denials can disrupt your workflow, but it’s […]
Top Five Reasons Why New Medical Practices Fail: Real-Life Examples
Starting a new medical practice is a challenging endeavor. Many new practices fail due to a variety of reasons. Here are the top five reasons why new practices fail, accompanied by real-life examples: 1. Doctor’s Underestimate the Work Involved A primary care practice in Savannah, GA underestimated the amount of work it takes to customize […]
Mastering Medical Necessity: Best Practices for Provider Documentation
Today, we’re going to delve into a topic that’s crucial for healthcare providers – documenting medical necessity. It’s a complex subject, but don’t worry, we’ll break it down together. Understanding Medical Necessity First things first, what is medical necessity? It’s a term that’s often interpreted differently by various payers, but most definitions incorporate the idea […]
Ophthalmology Billing & Coding: Ultimate Guide 2024
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 […]
2024 CPT changes for Radiology
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 […]