Blogs

As a certified medical coder with 12+ years in urology billing, I’ve seen even seasoned coders trip over cystoscopy CPT codes. Why? From 52000 (diagnostic) to 52204 (bladder biopsy), each code hinges on documentation specifics and one missed detail can trigger denials.

Explore Medicare billing can be complex, especially when it comes to understanding and applying modifiers. Among the most regular misunderstood are the GA, GX, GY, and GZ modifiers. These modifiers are vital for precise billing and ensuring proper reimbursement.

Payment posting is an important step within the medical billing process that essentially impacts the revenue cycle of healthcare practices. It includes recording the payments received from insurance companies and patients into the healthcare provider’s billing system.

A clean claim is error-free, submitted with accurate patient data, valid codes, and proper documentation, ensuring swift payer approval. Per CMS guidelines, it must avoid discrepancies. A clean claim is one that sails through payer systems without rejections.

Now a today's technology, it's more important than ever to protect patient information. A helpful tool for this is the National Provider Identifier (NPI). In this blog post, we discuss how NPI can serve as an extra protection against identity theft and help patients keep their personal information safe. You will learn a lot about how NPI works with healthcare today and how to set it up.

Patient statement services are a key feature that frequently requires further care. These services help patients understand their bills, resulting in easier transactions and fewer problems for everyone related to them. In this article, we will look at what patient statement services are, why they are important, and how they function. We'll also advise on selecting the best service for your requirements.

Techniques for spotting and stopping healthcare fraud and abuse Call Us Leave a Message An overview of healthcare fraud and abuse Annually costing the sector billions of dollars, healthcare fraud and abuse are major problems. This dishonest behaviour endangers patient care in addition to financial resources. Maintaining healthcare systems’ integrity depends on knowing the techniques to spot and stop healthcare fraud and abuse. These techniques will be discussed under this

As a medical coding auditor with 12+ years of experience, I’ve resolved $1M+ in denied claims due to incorrect hypertension coding. Let’s break down ICD-10 codes for high blood pressure, including tricky cases like pregnancy and unspecified readings—with real-world examples to keep your claims clean.

Heart disease is a major health problem that affects many people around the world, and commonly results in different kinds of angina pectoris. All kinds of heart disease, atherosclerotic heart disease of the native coronary artery is a major concern for many people, as it can manifest as various forms of angina pectoris. This article will look at what atherosclerotic heart disease of the native coronary artery Disease.