Tag: Medical Billing Services

AI in denial management

Denial Management with AI: A Game-Changer for Healthcare Providers

 Artificial intelligence (AI) is one of the most talked-about innovations in healthcare finance—and for good reason. While it brings excitement about streamlined operations, particularly in areas like AI in denial management, and better outcomes, it also sparks questions about its impact on providers, staff, and daily workflows. At AAPC, we’ve been actively exploring how AI […]
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ASC patient experience

Boosting ASC Patient Experience through Efficient Front Desk Procedures

In today’s competitive healthcare environment, delivering an exceptional ASC patient experience is crucial for differentiating your ambulatory surgery center (ASC) and fostering sustainable growth. This experience hinges on treating patients with care, respect, and competence throughout every interaction – from staff engagement to procedural efficiency and technological integration. This article focuses specifically on enhancing the […]
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RCM Technology Upgrade

Is Your RCM Technology Lagging? Time for an Upgrade

 In the fast-paced world of US healthcare, efficiency and accuracy are paramount. For healthcare providers, a robust Revenue Cycle Management (RCM) system is the backbone of financial health. However, as technology evolves and patient expectations rise, outdated RCM systems can become significant bottlenecks, leading to revenue loss, compliance issues, and increased administrative burdens. So, how […]
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Reduce AR Days

Reduce AR Days and Improve Reimbursements with Cash Flow Cure

Accounts Receivable (AR) days directly impact cash flow and overall financial health. The longer a claim sits in AR, the more challenging it becomes to collect revenue, leading to cash flow disruptions, operational inefficiencies, and reduced profitability. Therefore, it’s crucial for businesses to actively work to reduce AR days and improve their financial performance. With […]
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Manual Claims Denial Management

Why Manual Denial Management is Hurting Your Revenue

Healthcare providers face mounting financial pressures due to rising operational costs, evolving regulatory requirements, and shrinking reimbursement rates. One of the most critical areas affecting revenue cycle efficiency is claims denial management. Despite advancements in technology, many healthcare organizations still rely on manual claims denial management, leading to inefficiencies, revenue leakage, and administrative burdens. This […]
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Wound Repair Coding

Mastering Wound Repair Coding: A Guide to CPT Codes

Accurate coding of dermatological procedures requires a deep understanding of skin anatomy and the ability to extract key details from clinical documentation. Over the past two months, we’ve covered Wound repair coding guidelines for skin tag removal, shaving, and lesion excision. Now, in this final installment, we focus on wound repair (closure) procedures using CPT® […]
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Ophthalmology Billing

Navigating Ophthalmology Billing: Challenges & Best Practices

Ophthalmology, as a specialized field within healthcare, presents unique challenges when it comes to Ophthalmology Billing. From the intricate nature of eye-related procedures to various coding requirements, Ophthalmology Billing is a nuanced process that requires precision and understanding. Healthcare providers in this specialty must navigate complex coding systems, insurance policies, and regulatory requirements to ensure […]
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Automated Insurance Eligibility Checks: Improving AR Days

Automated Insurance Eligibility Checks: Improving AR Days

Table of Contents Understanding the Impact of Denials and AR Days The Role of Automated Insurance Eligibility Checks Benefits of Automated Insurance Eligibility Checks Implementing Automated Insurance Eligibility Checks Insurance Eligibility Verification Service: A Critical Step for Healthcare Practices One significant challenge that healthcare providers face is the high rate of insurance claim denials and […]
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Surgery global period modifiers

Surgical Global Period Modifiers: Modifier 54, 55, and 56 in Global Surgery Billing

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 […]
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