In today’s hectic world the healthcare system is constantly changing. Correct medical paperwork and coding is not only the right thing to do, it’s also necessary for following the rules, getting paid correctly, and providing excellent patient care. At the heart of this process are CPT codes, maintained by the American Medical Association (AMA), which […]
When it comes to healthcare, accuracy in medical billing isn’t just important, it’s critical. It keeps the financial wheels turning, ensures compliance with healthcare laws, and builds trust among providers, payers, and patients alike. But let’s face it, billing isn’t always straightforward. From choosing the right codes to filing clean claims, the process is full
Medical billing is the backbone of the revenue cycle when it comes to getting paid in healthcare. At the heart of every successful claim lies accurate coding—and a crucial but often overlooked part of this process is the Entity Code in Medical Billing. One piece of this puzzle that often flies under the radar is
Accurate billing isn’t just a back-office job in today’s rapid healthcare world; it’s necessary to keep practices running smoothly. Providers can use medical billing services to submit insurance claims, get paid on time, and keep accurate financial records. Remote Patient Data (RPD) and Remote Patient Monitoring (RPM), on the other hand, have made bills more
Have you ever wondered how healthcare providers get paid for the services they offer—or how your medical visits turn into those mysterious codes on your insurance statement? That’s where medical coding comes in. It’s the behind-the-scenes process that transforms every diagnosis, procedure, and medical service into standardized alphanumeric codes. These codes aren’t just for show,
Ever wondered how healthcare providers get paid by insurance companies? It all comes down to medical claim forms! These forms document procedures, diagnoses, and treatments, ensuring accurate billing and timely reimbursements. But even a tiny mistake can lead to delays, denials, or financial headaches. Nearly 80% of medical bills contain errors, and claim denials cost
Managing revenue in healthcare can be challenging, but tracking the right productivity KPIs makes a huge difference. Studies show that nearly 90% of claim denials are preventable, yet 35% of healthcare providers fail to appeal denied claims, leading to revenue loss. Metrics like days in A/R (industry benchmark: 30–40 days), denial rates (average: 5–10%), and
Medical credentialing helps professionals to fulfill state and federal patient care standards. To assure medical excellence, it verifies a provider’s education, experience, licensure, and professional background. For healthcare providers in Florida, selecting the right credentialing company is essential. According to the Florida Medical Association, HealthCare.gov issuers in Florida refused 13.1% of in-network claims in 2021,
Big changes are coming to the U.S. healthcare system in 2025, and they could hit providers and patients hard especially in radiology. Medicare payment cuts, like the ones in Project 2025, are meant to change how the federal government spends funds on health care. According to the Centers for Medicare & Medicaid Services (CMS), physician
Healthcare providers can have trouble with mental health billing, which can cost them money and cause problems with paperwork. Behavioral health billing differs from regular medical billing because it includes complicated coding, a lot of paperwork, and strict insurance rules. If providers don’t have a sound system, they might have problems with denied claims, refunds
Choosing the best medical billing company can make all the difference for specialty practices looking to optimize revenue and stay compliant with industry standards. Whether you run a cardiology, dermatology, or mental health practice, you know the challenges of complex coding, insurance delays, and ever-changing regulations. In Florida’s dynamic and highly regulated healthcare environment, having
AI is changing how healthcare is done by making it faster, more accurate, and better for patients. AI is transforming operations and reducing the amount of work that needs to be done by hand. For example, it is speeding up diagnoses and automating administrative chores. AI is having a significant effect on medical billing and
A peek at an unexpected medical bill or having to deal with a frustrating insurance argument. Mistakes in medical billing and coding often cause these problems. Even small mistakes can cause healthcare workers to lose money, have denied claims, or have trouble compliance. That’s why accurate billing isn’t just crucial for keeping the business going;
Neurologists must be precise in diagnosis, treatment, and billing. Over 50 million Americans have neurological problems like epilepsy, Parkinson’s disease, and multiple sclerosis, making neurology one of the most complicated medical disciplines. Accurate medical billing is essential to provide timely reimbursements and avoid revenue loss due to increased neurological care demand. Neurology practices face financial
A medical billing audit checklist is a powerful tool for healthcare providers, helping them assess accuracy, compliance, and efficiency in their billing practices. By identifying anomalies, reducing claim denials, and optimizing revenue cycle management, these audits are key to improving financial performance. With a focus on HIPAA and Medicare compliance, medical billing audits not only
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