HomeMedical Billing & Claims Optimization

Medical Billing & Claims Optimization

    Getting Paid for Add-On Codes: An Illustrated Guide to National Correct Coding Initiative Edits

    Why add-on codes are underpaid—and why the National Correct Coding Initiative holds the key Add-on codes—those Current Procedural Terminology services that piggyback on a primary...

    Avoiding the Top Five COB Pitfalls in Medical Billing

    Introduction: Why COB Errors Are Surging The painful reality is that payers are denying more claims than ever—and Coordination of Benefits (COB) stands near the...

    Speed to Revenue: A Shoestring Playbook for Same-Day Medical Claim Submission—Even Without a Billing Department

    1. Why Same-Day Filing Is No Longer Optional Denial rates keep climbing. In a 2023 MGMA survey, six out of ten medical-group leaders said payers...

    Practical, Low-Cost Tools to Transform Your Practice’s Billing and Coding Workflow

    Introduction Healthcare organizations, large and small, struggle with ever-increasing costs tied to managing billing and coding processes. Shrinking insurance reimbursements, rising operational expenses, and pressure...

    How to Handle Underpayment Disputes and Appeals-A Guide for Healthcare Providers

    Underpayments are a persistent challenge in the healthcare revenue cycle. In an ideal scenario, providers would submit a clean claim, and payers would reimburse...

    A Comprehensive Guide to Bundled Payments for Independent Practices

    The healthcare landscape is continuously evolving. Payment models are shifting away from traditional fee-for-service (FFS) systems toward value-based care, where healthcare professionals share more...

    Mastering Telehealth Billing for Greater Revenue Growth

    Telehealth services have become indispensable to modern healthcare. With their convenience, accessibility, and patient-centered approach, telehealth visits are no longer just an option but...

    Proven Approaches to Maximize Your First-Pass Claims Success

    In the healthcare industry, few things are more frustrating than dealing with claim denials and re-submissions. Every rejected claim represents potential lost revenue and...

    Selecting the Ideal Medical Billing Software: A Comprehensive Guide for Healthcare Providers

    Introduction: The Need for Advanced Medical Billing Solutions In today’s competitive healthcare environment, efficient revenue cycle management (RCM) is crucial for the financial sustainability of...

    Unraveling the Impact of Surprise Billing on Healthcare Providers

    Introduction In recent years, the conversation around healthcare transparency and fairness has intensified, particularly regarding unexpected patient costs. Surprise billing has become a hot-button issue,...

    Latest Articles