Denied vs rejected claims: what’s the difference
Medical billing is a complicated process, especially when we’re dealing with terms like denied vs rejected claims. Both these may seem similar and show that the claim won’t be paid. But they aren’t interchangeable. And have different implications for healthcare providers. So, understanding the difference between rejection and denial in medical billing is very important. […]
Step-by-Step Denial Management Workflow in Medical Billing
Managing the denial management workflow in medical billing is a very important part that ensures healthcare providers get paid for their services. We know that the denial process can be very frustrating for physicians, clinics, and hospitals. Research shows that healthcare practices cost 5-10% of their total revenue annually due to the complexity and inefficiency […]
Key Benefits of Outsourcing Behavioral Health Billing Services
Have you noticed that behavioral health providers are in great loss of money every year due to billing errors, denials of claims, and late payments? As you know patient care is already an emotionally and clinically stressful field; it may be impossible to handle complex behavioral health billing internally. It is the reason why most […]
What Is Modifier 91 and When to Use It in Medical Billing?
In the U.S, there are an alarming number of claims to laboratories that are denied not because the service is unnecessary, but because of improper coding. A simple fact such as the incorrect use of a modifier can slow down the payment or even cause the claim to be rejected. This is where knowledge of […]
97530 CPT Code: Complete Guide for Healthcare Providers
Do you know that wrong coding of therapy is among the leading causes of claim denial in outpatient rehabilitation services in the U.S.? Most clinics are missing revenue when they are not full of patients. They fail to understand how to bill codes such as the 97530 CPT code appropriately, especially under the 8-minute rule. […]
CPT Code For Colonoscopy: Essential Billing Guide
Did you know that colorectal cancer is the second leading cause of death that is related to cancer and this is very preventable with early-stage screening? The colonoscopy procedures are both crucial in early detection but in terms of billing, they tend to be complicated and subject to mistakes. This is why it is important […]
Hyperlipidemia ICD 10 Code E78.5: Complete Guide (2026)
High cholesterol is the cause of diseases of hyperlipidemia. It is a high level of lipids, which are taken as fats in your blood. But it’s a fact that lipids in your body, in the form of cholesterol and triglycerides, perform your body’s functions properly. But when it exceeds its limit, it can lead to […]
Tick Bite ICD-10 Code: Complete Guide for Accurate Medical Coding & Billing
In medical billing and coding, accurate diagnosis and its procedure codes are very important. Because they make sure that healthcare providers are correctly reimbursed. And also ensure that patients receive the appropriate care. One such diagnosis is the tick bite ICD-10 code. It is used when documenting tick bites in patients. This blog post guide […]
What Are Medical Billing Reports and Their Main Types?
Did you ever know that the healthcare practices may lose up to 15 percent of the annual revenue just because of the poor monitoring of billing performance and unpaid claims? That is why it is essential to learn the medical billing reports to achieve financial stability and expansion as a provider. Practices are operating blindly […]
CPT Code 99214 Explained for Healthcare Providers
Did you ever find out that CPT Code 99214 is one of the most frequently billed evaluation and management (E/M) codes in outpatient care and is also one of the most frequently undercoded or miscoded services? Most healthcare givers fail to capture valid reimbursements, or they are denied because they are not conversant with the […]