Our recent articles provide new perspectives and expert insights

Every code, every modifier, plays a crucial role in ensuring accurate reimbursement for services rendered. For anesthesia providers, understanding and correctly applying modifiers is particularly critical, as their services often...

Every CPT (Current Procedural Terminology) code represents a specific medical service or procedure, and understanding their nuances is critical for healthcare providers, billers, and even patients. Among these, CPT code...

For millions of Americans relying on Medicare, the specter of high out-of-pocket healthcare costs looms large. Unexpected illnesses, chronic conditions, and even routine medical needs can quickly erode savings and...

Getting an appeal denied insurance claim can feel like hitting a brick wall, but it doesn’t mean your fight for coverage is over. Many denied claims are overturned on appeal....

In the complex world of medical billing, few specialties present as many coding challenges as gastroenterology. Endoscopy billing—covering a wide range of procedures from colonoscopies to upper GI endoscopies—is a...

In the complex world of modern healthcare, a patient’s journey is shaped by more than just their medical diagnosis. Factors like housing stability, access to nutritious food, reliable transportation, and...

The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic...

Healthcare is an ever-evolving landscape. In this era of value-based care, accurate documentation and coding are important for financial stability and quality patient care. Hierarchical Condition Categories (HCCs) are crucial...

The landscape of payment integrity, particularly within complex sectors like healthcare and financial services, is constantly evolving. As organizations grapple with escalating costs, intricate regulatory frameworks, and the persistent threat...

In today’s evolving healthcare environment, medical billing compliance is more than just a legal requirement—it’s a strategic safeguard for your medical practice. As regulations tighten and audits become more frequent,...