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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.

2024 ICD-10-CM Diagnosis Code R00.2 is a specific code used in the International Classification of Diseases (ICD) system to classify and diagnose palpitations and cardiac arrhythmias. This code falls under the category of abnormalities of heart rhythm and is crucial for accurately identifying and treating heart rhythm irregularities.

Acute kidney failure, also known as acute renal failure, is a sudden loss of kidney function. Understanding the basics of acute kidney failure is crucial for timely diagnosis and appropriate treatment. This condition can be caused by various factors, such as severe infections, dehydration, or sudden drop in blood flow to the kidneys.

Chronic Obstructive Pulmonary Disease, or COPD, is a lung condition that encompasses various types of conditions that result in breathing difficulties. It has multiple symptoms, including pneumonia and chronic bronchitis, which lead to restricted airflow and long-term breathing problems. Individuals with COPD typically experience symptoms such as a persistent cough, wheezing, difficulty breathing, and chest pain.