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 […]
In today’s complex billing landscape, accuracy is everything. With up to 80% of U.S. medical bills reportedly containing errors, even small missteps in coding can snowball into denied claims, delayed reimbursements, or regulatory audits. For healthcare practices, especially those involved in lab testing, understanding and effectively using Proprietary Laboratory Analyses (PLA) codes is essential to […]
Revenue loss due to claim denials is one of the most persistent challenges for healthcare practices. In fact, according to a 2021 study, nearly 17% of in-network claims submitted via healthcare.gov were denied—totaling approximately 48 million out of 292 million claims. For healthcare providers, this translates into delayed payments, lost revenue, and administrative headaches. At […]
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 […]
Medical billing denials are a significant challenge for healthcare practices. Did you know that private payers initially deny 15% of medical claims? According to a national survey by Premier Inc., hospitals and healthcare systems spend an average of $438 per claim to dispute denials. With insurers reviewing nearly 3 billion claims annually, this results in […]
