Understanding Denied vs. Rejected Claims in Medical Billing
Medical billing is a critical process in healthcare, ensuring that providers get paid for their services. However, navigating the complexities of insurance claims can be challenging, particularly when dealing with denied and rejected claims. Understanding the difference between these two types of claims and knowing how to avoid common pitfalls can significantly improve the efficiency […]
The Importance of a Business Case in Healthcare Decision-Making
In the rapidly evolving landscape of healthcare, making informed and strategic decisions is more critical than ever. Whether you’re contemplating the purchase of new medical equipment, considering an expansion of services, or implementing cutting-edge technology, the foundation of these decisions should be a well-crafted business case. This document not only guides decision-making but also ensures […]
Billing Tip for Pediatric Immunizations
Fellow healthcare providers, when we encounter pediatric patients who are behind on their immunizations, it’s crucial to understand the appropriate billing practices for immunization counseling and administration. 📝 Key Points for Accurate Billing: 📊 Efficient Practice Management: 📢 Action Items: 🔍 For More Information: 🤝 Let’s ensure our billing practices are as effective as our care, keeping our focus […]
CMS Update on Shared or Split Services
The landscape of medical billing and compliance continues to evolve, with the Centers for Medicare & Medicaid Services (CMS) and the Current Procedural Terminology (CPT) introducing significant updates to the shared or split services policy in 2024. These changes, which expand the definition of split/shared services and modify the requirements for service billing and documentation, […]
Leveraging CPT Codes for Enhanced Medical Billing
Strategies to Increase Revenue and Sustain Physician Practice Independence Accurate medical billing is essential for securing appropriate reimbursement and sustaining independent physician practices. This article offers insights into trends across the most prevalent Current Procedural Terminology (CPT) codes used for initial and subsequent hospital services, as well as observation and combined admission and discharge services. […]
The Key to Success: Project Management
The Critical Role of Project Management Skills in Medical Practice Success In today’s fast-paced business environment, project management has emerged as a critical skill set across various sectors, healthcare included. For physicians who are running or looking to run a medical practice, understanding and applying the principles of project management can be the difference between […]
Strategic Billing for Obesity and Nutrition Codes
In today’s healthcare landscape, addressing obesity and nutrition is paramount, given the increasing prevalence of obesity-related health conditions. For healthcare providers, offering nutrition and obesity counseling is not just a clinical necessity but also an opportunity to enhance practice revenue. Effective billing, particularly using CPT codes 99401 and 99402 for these services, plays a crucial […]
Implementing Telehealth
The landscape of healthcare delivery has undergone a profound transformation in recent years, with telehealth emerging as a pivotal player in enhancing patient access and convenience. The COVID-19 pandemic expedited the widespread adoption of telehealth, pushing medical practices to explore the possibilities of this digital frontier. In this comprehensive guide, we will delve into the […]
Navigating the New Medicare G2211 Code: A Comprehensive Guide
As the healthcare industry moves forward into the new year, practitioners across the United States are gearing up for significant changes in Evaluation and Management (E/M) services. The impending implementation of the Healthcare Common Procedure Coding System (HCPCS) code G2211 on January 1, 2024, is particularly noteworthy. This add-on code is designed to address the […]
Empowering Success
The Case Against Micromanagement and the Power of Processes and Metrics Introduction: In the fast-paced and dynamic world of business, effective leadership is essential for success. However, there’s a fine line between providing guidance and stifling creativity through micromanagement. In this blog post, we’ll explore the drawbacks of micromanaging staff and advocate for a more […]
