Medical Billing & Coding

The key to preventing billing errors and claim denials is preparation.

Something’s happening in healthcare reimbursements. The change? A shift from traditional fee-for-service models to more nuanced value-based reimbursement models. 

Here’s what you need to know about risk adjustment data validation (RADV), the RADV final rule, and how they will affect your practice.

Modifier 33 and modifier PT impact medical claims processing. Here’s the difference.

Get expert insights into medical billing process efficiencies that will help your independent practice be more profitable.

Looking to outsource medical billing? Read our complete guide to outsourced billing services to determine if it’s right for your practice.

The often labor-intensive process of reworking a denied claim and compiling additional documentation can deter practices from submitting an appeal.

Improving the accuracy and completeness of healthcare documentation is vital. Here are tips on exactly how to improve your documentation.

With the year winding down, now is a good time for healthcare practices and billing companies (on behalf of their clients) to ensure compliance with billing code changes that took effect October 1, 2023, and prepare for changes that become effective January 1, 2024. Discover what’s new for evaluation and management (E/M) codes and ICD-10-CM diagnosis codes that could affect your medical practice.

Mastering pre-op coding is crucial. Here are 5 key practices, from patient clearance to ICD-10-CM codes, to ensure accurate billing and avoid denials.