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In the complex world of healthcare, accuracy in medical coding is not just about compliance—it’s the foundation of timely reimbursements and a healthy revenue cycle. Among the most common patient...

Total knee arthroplasty (TKA), also known as total knee replacement, is one of the most commonly performed orthopedic procedures in the United States. With the rising number of patients suffering...

Surgical procedures often involve complex teamwork between multiple physicians. In such cases, accurate billing and coding are essential to ensure proper reimbursement for each provider’s contribution. One of the most...

 Key Takeaways Denial Code CO-15 occurs when authorization or referral information is missing, invalid, or mismatched. Common causes include expired authorizations, incorrect provider details, or billing mismatches. Prevent CO-15 denials...

In the complex world of medical billing and coding, the Healthcare Common Procedure Coding System (HCPCS) plays a vital role in ensuring accurate documentation, reimbursement, and compliance. While most healthcare...

Guideline updates: Corresponding to these new codes, ICD-10-CM guidelines also received updates to clarify their use: Obesity class codes: Under subcategory E66.81, coders must assign a fifth character to indicate...

Introduction Urology is a specialized medical field dealing with disorders of the urinary tract and male reproductive system. From diagnosing kidney stones to performing complex procedures like prostate surgeries, urologists...

Halloween is the time for tricks, treats, and the occasional… unusual injury. From ghostly encounters to mysterious bites, there’s an ICD-10 code for just about everything — even your most...

In medical billing, modifiers play a vital role in ensuring accurate reimbursement, especially during the postoperative period. The postoperative period refers to the specific timeframe following a surgical procedure when...

In the complex world of medical billing, claim denials can significantly impact a provider’s cash flow, operational efficiency, and financial stability. One of the most common and often misunderstood denial...