How to Avoid Claim Denials in OB Gyn?

Some specialities in healthcare industry have exceptionally high denial rate. OB Gyn is, unfortunately, one of them. Denials are an every occurrence for most OB Gyn centers. If you are facing extreme claim denials in OB Gyn that are impacting revenue, here’s a look at several strategies you can use to avoid claims denials in […]

Common Claim Rejection Reason – Invalid MBR

Claims are most often rejected due to incorrect or invalid information that doesn’t match what’s on file with the payer. Rejections can come from either the clearinghouse or the insurance payer. A rejection status does not necessarily indicate that the payer has determined that the claim is not payable. Possible Reasons Possible reason could be […]

Time is Key Factor in Psychotherapy Coding

When time is the controlling factor in a patient’s visit, be sure to capture the appropriate time-based service code. According to CPT®, unless there are code or code-range-specific guidelines, parenthetical instructions, or code descriptors to the contrary, the following standards apply to time measurement: A unit of time is attained when the midpoint is passed. […]

Mental Health Billing: You Ought to Know

When you provide mental health care to your clients, your goal is to give the best treatment possible. You also want insurance companies to reimburse you on time for the services you provide. Ideally, you won’t have to fix errors or negotiate with the providers. Whether you work for a small practice or as part […]

Important Medical Billing Reports

Medical billing reports can help you to understand how your medical practice is performing based on many revenue cycle metrics, find if the claims are paid in time, and how the insurance carriers are paying your practice for important procedures. Some of the significant reports that are vital in evaluating the performance of your practice […]

Proven tips to improve your Revenue Cycle Management

Revenue Cycle Management is a significant aspect of every provider’s facility as they work to cure the people and billing companies or their in-house staff work to collect co-pays, verifying insurance data, collecting post visit balances, and much more. More than 3 out of 4 healthcare leaders say denials are their greatest challenge, according to […]

Use of NCCI Edit in Radiology

According to CMS, they developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims. The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is responsible for all decisions regarding its contents. The CMS developed its […]

Outsourced Substance Abuse Billing

Your team either as a substance abuse billing company or in-house billing, knowing ICD-10 billing codes is a prerequisite to being successful. ICD-10 has hundreds of billing codes concerning behavioral healthcare, including substance abuse treatment and, at times, they can be overwhelming. From medically supervised outpatient withdrawal to chemical dependency for youth outpatient clinic, the […]

What is Teletherapy?

Teletherapy is mental health counseling over the phone or online. Teletherapy is any remote therapy that uses technology to help the therapist and client communicate. Some examples of teletherapy include: Doing therapy sessions over the phone Having a group chat for group therapy Using videoconferencing for individual, couples, or group therapy Receiving therapy via email […]

Principal Care Management Billing Codes for FY 2022

The Principal Care Management (PCM) service was created by the Centers for Medicare and Medicaid Services (CMS) in 2020. The aim of the program was to allow for provision of additional care to patients with a single chronic condition. In 2022, there are four new codes to bill PCM services that replace two existing codes […]