How to Verify Medicare Coverage: A Complete Guide for Providers
Verifying Medicare coverage is one of the most important steps in a provider’s revenue cycle. When eligibility is not checked properly, practices face claim denials,...
Verifying Medicare coverage is one of the most important steps in a provider’s revenue cycle. When eligibility is not checked properly, practices face claim denials,...
For many podiatry and primary care providers, coding correctly for callus and corn removal is not as simple as it looks. While patients often see...
Accurate coding is the foundation of clean claims. Among the most commonly used procedural codes, CPT code 96372 carries more complexity than it seems. A...
CPT Code 43239 is one of the most frequently used codes in gastroenterology billing. Yet, it is also among the most denied when documentation or...
Healthcare billing systems are the backbone of financial management in medical practices. They ensure providers are reimbursed, patients receive transparent statements, and compliance with strict...
Do you have trouble with mental health insurance claims? Do billing errors cost your practice money each month? Mental health billing has a 15% higher...
Billing errors in urgent care waste money and time. In 2025, 11.8% of U.S healthcare claims are denied on the first try. Each denial costs...
Managing neurosurgical medical billing from numerous sites increases revenue risk. In 2025, average claim denial rates increased over 15% across multiple disciplines, with neurology/neurosurgery having...
Many healthcare professionals, practice managers, and billing specialists have difficulties while filing claims for out-of-network services. According to the Kaiser Family Foundation, over 28% of...
Healthcare professionals, medical billers, and coders rely heavily on accurate shingles vaccination coding. Many practices experience claim denials, delayed reimbursements, or compliance issues, which lead...
Dog bites cause almost 4.5 million injuries in the United States each year, according to the CDC. Approximately one in every five bites that become...
Accurate billing for remote cardiac monitoring is a common challenge for cardiology practices. According to a 2024 MGMA report, claim denials for cardiovascular operations have...
Healthcare providers may experience growing challenges due to claim denials by 2025. On average, over 12% of all claims are first denied, a considerable increase...
Claim denials are increasing rapidly. In 2025, the national initial claim denial rate rose to 11.8%, up from 10.2% just a few years before. Much...
Accurate wound care coding is one of the most difficult challenges for healthcare teams in 2025. Did you know that advanced wound care claims are...
Medical credentialing is a necessary step for healthcare providers to participate in insurance networks and provide reimbursable services. Without it, providers face claim denials, payment...
Many clinics and billing teams experience frequent claim denials and delays. In 2025, the average initial claim denial rate is between 11 and 12%, up...
In the healthcare industry, where every detail matters, Clinical Documentation Improvement (CDI) is no longer optional; it’s essential. Whether you're running a hospital, clinic, or...