One of the primary challenges that medical billing professionals face is dealing with denial codes. Denial codes in medical billing are essentially explanations given by insurance companies as to why a claim was denied. These codes can be very frustrating, as they often require additional work to resolve the issue. As reported by American Academy
Colorectal cancer, is the third most common cancer in the world. And in the United States, it is the second leading cause of cancer-related deaths among men and women combined. However, colorectal cancer is treatable if detected early. Therefore, every March, National Colorectal Cancer Awareness Month is observed to raise awareness about the disease and
Introduction: The COVID-19 pandemic forced many industries to adapt and change, and healthcare is no exception. One of the most significant changes in healthcare during the pandemic has been the rapid expansion of telehealth services. Telehealth has been a valuable tool during the COVID-19 pandemic, allowing patients to receive medical care remotely while minimizing the
According to a recent Healthcare Information and Management Systems Society (HIMSS) survey, 76.1% of healthcare leaders say denials are their greatest challenge within RCM if you want to reduce rate of denials. Denied, rejected, resubmitted and underpaid claims can cost your practice as much as $100,000 per month according to the AMA. This is precisely
Medical coding is a crucial component of the healthcare industry, and it’s vital to ensure that every medical service provided is accurately coded. Know here all details about best cpt codes for cardiology. Medical coding errors can lead to various issues such as claim denials, revenue loss, and even legal implications. According to recent studies,
Prior authorization (PA) is time-consuming and fraught with administrative and financial burdens for physicians and their staff, typically requiring extensive communication and follow-up for disruption due to prior authorization. A recent American Medical Association survey revealed that physicians and their staff spend an average of 13 hours each week completing PA requests. On an annual basis,
Increase in the number of denials Health practices are struggling to manage an increase in the number of denials for coding and billing clean claims and underpaid claims as denial rates have continued to soar. With 33% of hospitals now reporting average claim denial rates of 10% or higher, the provider community is forced to spend nearly $8.6
Although we no longer provide coding services for billing Ketamine Treatment, we are certain that you can enjoy timely reimbursements by accurately coding your services, which is why we have compiled for you, a guide on billing for Ketamine treatments. The health insurance landscape is ripe for mistakes, misjudgments, and calculations. EMPClaims has always tried
The primary purpose of provider credentialing is to ensure that healthcare providers have the required training and experience to provide the highest level of care to patients. But often undertaking the entire process in-house can be high-risk and overwhelming to staff. What can providers do to improve verification and validation of professional’s qualifications? Understanding the
