The Revenue Cycle Blog
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Coding for Skin Biopsies and Excisions: Avoiding Common Denials in Dermatology Practices
Master skin biopsy and excision coding in dermatology. Avoid claim denials with accurate CPT coding, proper modifier use, and strong documentation strategies.
End-to-End Billing for Mental Health Services with Advanced AR Follow-Up
Facing denied claims or slow payments? This expert guide explains billing for mental health services and AR follow-up methods that drive real reimbursement results.
Case Study: Reducing Pediatric Days in A/R From 45 to 34: What Made the Difference
A pediatric clinic reduced A/R days from 45 to 34 by addressing billing inefficiencies—this case study breaks down what changed and why it worked.
10 Reasons for Medical Claim Denials & Prevention
Learn the top 10 reasons for medical claim denials and how to prevent them. Improve your billing and reduce claim rejections.
Case Study: Correct Coding and Electronic Submission of Podiatry Claims reduce denials by 23% and improves collection by 25%
Bad quality scanning of superbills and lack of adoption of electronic claims submission creates a charge backlog situation and consequently, result in increased denials on account to timely filing dates not being adhered to. Read this case study about how our structured approach, technical expertise, and revenue cycle rigor combine to create value for our client.
Case Study: Improved Revenue Cycle Workflow and reporting functionality accelerates Cash Flow
Most revenue cycle systems have a wealth of unutilized functionality. Revenue cycle professionals need to evaluate workflow and reporting functionality on the revenue cycle system to not only ease their workload but also improve revenue cycle outcomes. Read more in this case study.
Case Study: Addressing Notice of Levy issues to Improve Reimbursements
Notice of Levy issues may be wrongly construed to be claim denials if a thorough investigation is not done to understand the reason behind such cases. Further, it is imperative that physicians pay their taxes on time. By educating physicians/practice teams on the importance of filing taxes, an artificial surge in denials on account of notice of levy cases can be avoided.
Correct Coding and Re-submission of Pain Management Claims help Recover $300K of A/R Backlog
Standardized billing and coding practices for Spinal Cord Stimulator (SCS) Procedure Code 63650 reduce medical necessity denials and help collect 281 claims valued over $ 300K in 2 years. The Customer saw over 36% improvement in Collections, as much as 75% reduction in old AR over 61 days, and reduction of denied SCS claims from 68 to 8 over a 7 month period.
4 Reasons for Physical Therapy Claim Denials and Solutions
Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.
Improving Days in A/R: A Best Practices Guide to Optimize Your Revenue Cycle
Improving days in A/R to MGMA benchmark of fewer than 40 days requires a comprehensive relook at the entire revenue cycle and concerted efforts to improve. In this article, we bring you insights on how to reduce the number of days in AR.