Urology practices face unique challenges when it comes to billing and coding. The complexity of urological procedures, coupled with ever-changing coding guidelines, can lead to costly errors, claim denials, and revenue loss. Accurate and efficient billing is crucial for the financial health of any urology practice. This blog post will delve into common urology billing […]
Therapy services play a vital role in healthcare, helping patients recover from injuries, manage chronic conditions, and improve overall well-being. To ensure accurate billing and reimbursement, healthcare providers must use the correct therapy services codes. These codes, primarily based on the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), help standardize claims […]
As the healthcare landscape continues to evolve at an unprecedented pace, 2025 is poised to be a landmark year for revenue cycle management (RCM). With regulatory changes, emerging technologies, and shifting patient expectations, healthcare providers and RCM professionals must stay ahead of the curve to optimize financial performance and patient care. In this newsletter, we […]
In the ever-evolving field of medical billing, denied claims remain a significant obstacle for healthcare providers. Studies reveal that over 10% of claims face initial rejection by insurers, leading to revenue losses, administrative strain, and frustration for all stakeholders. To mitigate these challenges and ensure financial stability, an effective denial management process is essential. However, […]
As we step into 2025, the healthcare industry stands at a pivotal juncture where innovation, technology, and evolving regulations converge to reshape the medical billing landscape. At Allzone Management Services, we recognize that staying ahead in this rapidly changing environment requires foresight, adaptability, and a commitment to excellence. This newsletter explores key trends, challenges, and […]
Cytokine Release Syndrome (CRS) is a systemic inflammatory response that can occur due to infections, certain immunotherapies like CAR T-cell therapy, or other triggers that activate the immune system. Accurate coding of CRS, including the CRS ICD-10 Codes, is essential for proper documentation, billing, and treatment planning. Below are the relevant ICD-10 codes associated with […]
Table of Contents The “Global” Concept Billing the Global Package Modifiers for Split Care Transfer of Care When Not to Use Modifiers 54 and 55 Modifiers: The Key to Accurate Medical Claims Processing To understand these modifiers, it’s essential to first examine the concept of the surgery global period modifiers. All medical procedures with a […]
Healthcare providers and their revenue cycle management (RCM) teams face unique seasonal medical coding challenges during seasonal surges in patient care. These seasonal patterns can generate large volumes of claims that require accurate and efficient medical coding, whether they are caused by flu outbreaks, allergies, or elective procedures scheduled before insurance deductibles reset. Table of […]
Each year, updates to CPT® codes are introduced to reflect advancements in medical procedures and technologies, impacting billing and coding across multiple specialties. Effective January 1, these annual updates encompass new, revised, and deleted codes, along with updated coding guidelines. For 2025 CPT Code Updates, there are 270 new codes, 112 revised codes, and 49 […]
Medical billing teams and healthcare providers need to ensure their revenue cycle management processes are ready for the New Year as 2024 draws to a close. In order to succeed in 2025, a proactive, well-organized approach is essential. In order to help you maintain compliance, improve financial outcomes, and set the stage for success in […]