The Revenue Cycle Blog
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HCPCS Codes: 10 Must-Know Tips for Billers in 2025
Get a grip on HCPCS codes in 2025 with 10 powerful billing tips most coders overlook. From modifiers to J-codes, learn how to avoid costly denials and code with confidence.
Case Study: 98% Accuracy in HCC Coding for Anesthesia, Resulting in 18% Revenue Growth
Explore real-world case studies showcasing how we improve HCC Coding and billing efficiency and revenue for healthcare providers.
Hierarchical Condition Category (HCC): RAF Scores & Risk Models
Hierarchical Condition Category (HCC) coding directly affects RAF scores and healthcare reimbursements. Understand how accurate coding ensures better funding and smarter patient care strategies.
CPT Code for New Patient Office Visit: When to Use 99202–99205
Confused about how to bill new patient office visits? This guide breaks down CPT codes 99202–99205, explains ICD-10 pairings, and helps you avoid costly errors.
Understanding the New Patient CPT Code Without Headache
The new patient CPT code is a cornerstone of medical billing that providers must understand.
Understanding Place of Service (POS) Codes in Medical Coding
Understanding Place of Service (POS) codes is crucial in medical billing and coding. These two-digit codes identify the location where healthcare services are provided, impacting reimbursements and claim accuracy. In this blog, we explore the significance of POS codes, their role in reducing claim denials, and how accurate coding ensures proper compensation.
Mastering Modifiers in Podiatry Billing
Learn how to apply important modifiers like -50, -RT, and -LT in podiatry to ensure correct coding, avoid denials, and enhance reimbursement accuracy.
Place of Service Codes Medical Billing: Complete Guide
Understanding Place of Service Codes Medical Billing is essential for smooth reimbursements. Find out the key changes and coding best practices.
Understanding Neurology Billing and Coding Services in Healthcare
Are you looking for neurology billing and coding services? This guide explores the challenges, common mistakes, and compliance factors affecting reimbursements. Learn how accurate coding can prevent claim denials, ensure compliance, and enhance revenue cycle efficiency.
Understanding G Codes in Medical Billing: A Friendly Guide
G codes in medical billing ensure accurate reimbursement for specialized Medicare services, from preventive care to telehealth, filling gaps that CPT codes may miss. Understanding their use is essential for smooth billing and compliance.
How Global Resources Can Solve Your Medical Coding & HIM Staffing Crisis
Learn how global resources are revolutionizing healthcare by tackling medical coding and HIM staff shortages, ensuring seamless operations and improved patient outcomes.
Pediatric Billing and Coding: All-in-One Guide
Learn essential pediatric billing and coding practices with our guide. Improve accuracy, avoid denials, and ensure proper reimbursement with expert tips.
DME Modifiers: Navigating Durable Medical Equipment Success in 2024
Navigating 2024's Strategies for DME Success with Modifiers and Durable Medical Equipment. Achieve mastery in billing accuracy and revenue optimization. Streamline operations with expert guidance. Contact us today to unlock your practice's full potential.
Mastering New Patient CPT Codes: A Comprehensive Guide
Dive into the intricacies of new patient CPT codes with our comprehensive guide. From decoding coding guidelines to optimizing revenue cycles, gain the expertise needed to navigate medical billing with confidence.
Unleashing the Power of Clinical Documentation Improvement (CDI)
Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.
Understanding the Importance of Secondary DX Codes in DRG-Based Reimbursement
DRG-based reimbursement (Diagnosis-Related Group), plays a pivotal role in determining the payment healthcare facilities receive for treating Medicare patients. While the primary diagnosis code identifies the main reason for hospitalization, the significance of secondary DX codes in the DRG-based reimbursement process cannot be overstated.
Florida's Amendment to Electronic Health Records Exchange Act
The Florida Legislature recently amended the Florida Electronic Health Records Exchange Act to prohibit certain healthcare providers utilizing certified electronic health record technologies from storing qualified electronic health records outside of the United States, its territories, or Canada.
Role of medical coding in the future of healthcare
Healthcare administrative talent will be in short supply for many years, and medical billing and coding offer lucrative career options. This blog discusses the importance of medical coding, the career opportunities it provides, and how medical coding will play a critical role in defining the quality of care.
Case Study: Improving ED collections by resolving coding and clinical documentation issues
Our client, a mid-sized hospital group, faced challenges getting reimbursed for ED visits. Sub-optimal client documentation processes led to delayed payments and reduced reimbursements. Our initial analysis revealed that delayed billing was the root cause. We conducted an exhaustive internal audit of 30 physicians working across two facilities in Washington and Florida. In this case study, we highlight how improved clinical documentation and coding quality lead to increased reimbursements.
Creating an effective strategy to resolve Clinical and Coding Denials
Claim denials, a chief cause of revenue loss to healthcare practices, are rising across payer types. A primary source of denials is on account of coding-related denials. A comprehensive and focused denial management and appeals strategy will help reduce this revenue loss.