Introduction The field of molecular medical billing is growing due to the expanding genetic testing industry. Despite being relatively new, genetic testing is rapidly gaining popularity. It offers patients fact-oriented lab results that help in making rational medical decisions. Molecular testing also helps healthcare providers in recommending preventive care, monitoring, and treatment based on genetics. […]
Introduction Current Procedural Terminology (CPT) is a fundamental coding system used within the healthcare industry. It was established by the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA) to provide a standardized coding set for wide-ranging procedures used by healthcare professionals. CPT codes are maintained and published […]
Introduction Claim scrubbers play a crucial role in the medical billing process as they are designed to meticulously scan claims for errors before they are submitted to payers. These claim scrubbing automated software programs are responsible for ensuring that all information on the claim is accurate and complete, including patient demographics, diagnosis codes, and CPT […]
Introduction Denial codes refer to specific codes healthcare insurance companies assign to indicate problematic insurance claims. These codes briefly describe the reasons and remark codes that provide insights into why patients’ treatment expenses are unable to be covered under the existing circumstances. These error codes provide descriptions that are causing claim denials. Denial codes are […]
Introduction Financial management has a pivotal role in medical billing and revenue cycle management. However, it is inevitable for contemporary healthcare organizations to adopt the emerging trends of financial management practices. These practices should be incorporated into the organization’s strategy to gain the best revenue management results through business growth and revenue generation in the […]
Introduction Medical billing is all about converting a medical procedure into transaction codes. Professional medics use these codes in claiming reimbursements. In other words, medical billing is all about securing the payment for a service provided by a doctor to a patient. This process might look simple for a medium-sized hospital, but it becomes complex […]
Unlocking Success: 10 Essential Steps for Laboratory Billing Services – Discover the fundamental strategies. Enhance billing efficiency, reduce errors, and optimize revenue in laboratory billing services. This detailed manual accommodates both novice and skilled individuals, offering actionable recommendations, genuine worldwide examples, and invaluable insightful knowledge. Adhere to shifting healthcare laws while realizing success in laboratory […]
Introduction CMS (Center of Medicare and Medicaid Service) has released CY-24 (Calendar Year-2024) under Medicare Physician Fee Schedule Proposed (MPFS), which includes proposals about Quality payment programs and Medicare physician Payments. The new rule included the equity focus payment proposals and coding against the services that help to rehabilitate underserved communities. The proposal included separate […]
Investigate the compelling overlap of medical billing and coding within healthcare policy and regulations in our enlightening blog. Learn how precision, conformity, and innovation contribute to equitable payment structures and patient-focused treatment. Keep informed about evolving procedures and grasp the ethical framework for maintaining patient secrecy. Journey into the boundless possibilities of this fast-paced field, […]
Discover actionable insights for improving revenue cycle management operations in the healthcare industry, targeting medical and coding. Develop skills to optimize billing functions, eliminate mistakes, and cultivate stronger patient relationships for higher revenues. Introduction This article offers a comprehensive guide to enhancing revenue cycle management through better medical billing and coding methods. Amidst the current […]