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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

June 10, 2024

Revenue Cycle Management in Healthcare: What It Is & Why It Matters

Revenue cycle management (RCM) in healthcare refers to managing the entire lifecycle of patient service revenue. It includes everything from collecting a patient’s registration information to processing their outstanding balance payments.  When done well, healthcare RCM helps clinics maintain steady cash flow, reduce administrative strain, and operate more efficiently overall. But it’s easier said than […]

May 27, 2024

Modifier 25: Everything You Need To Know in 2024

Modifier 25: Everything You Need To Know in 2024 A common area of confusion among medical practices is the appropriate use of Modifier 25.  Modifier 25 is a specific code used in medical billing to indicate that a significant, separately identifiable evaluation and management (E/M) service was provided by the same physician or other qualified […]

May 20, 2024

CPT Code 99203: What You Need To Know in 2025

CPT Code 99203: What You Need To Know in 2025 CPT code 99203 is used for new patient or outpatient visits that require a low medical decision-making complexity and/or 30-44 minutes of encounter time.  This code has a lower reimbursement rate than higher-level codes like CPT code 99204 or CPT code 99205, but it’s important […]

May 13, 2024

Dermatology Revenue Cycle Management: A Guide

A Complete Guide to Dermatology Revenue Cycle Management Dermatology Revenue Cycle Management (RCM) enables your practice to operate smoothly. It ensures a steady stream of income and patients while running operations efficiently.  In dermatology, where the range of services spans medical, surgical, and cosmetic procedures, the complexity of billing and coding emphasizes the need for […]

May 6, 2024

10 Revenue Cycle Management Best Practices

10 Revenue Cycle Management Best Practices Revenue cycle management (RCM) is a key aspect of running any successful practice.  It encompasses everything from scheduling and appointment booking to billing and payment processing – pretty important things if you want your practice to thrive! Effective RCM not only ensures the financial health of a clinic, but […]

April 29, 2024

Medical Billing Outsourcing: The Pros & Cons

Medical Billing Outsourcing: The Pros & Cons Medical billing – a very key component of practice management – is complex, and we all know the headaches of rejected claims, ensuring compliance, and the administrative strain that it puts on our practices.  Outsourcing medical billing may be just the thing you need to improve your practice, […]

April 22, 2024

New Patient CPT Codes: A Guide for 2025

New Patient CPT Codes: A Guide for 2025 It’s no secret that medical billing and coding are an alway-changing landscape, making it essential to keep up-to-date with the latest changes for the health of your practice. The CPT (Current Procedural Terminology) codes related to new patients undergo updates once in a while, and these codes […]

April 18, 2024

The Change Healthcare Cyber Attack: What’s Going On?

The Change Healthcare Cyber Attack: What’s Going On? The recent cyber attack on Change Healthcare has sent ripples throughout the industry, raising concerns about the security of sensitive patient data and the resilience of healthcare IT infrastructure.  Today, we’ll shed light on the ongoing situation, the efforts to mitigate the impact, and how this event […]

April 9, 2024

ICD-9 vs. ICD-10: Why The Change?

ICD-9 vs. ICD-10: Why The Change? ICD-9 was replaced in the USA with its much more capable younger brother, ICD-10, back in 2015. But why the change? How does it affect your coding? And why is it important to know the differences? Let’s dive into why ICD-10 is the current norm, why ICD-9 doesn’t cut […]

April 1, 2024

Modifier 22: What You Need To Know

Modifier 22: What You Need To Know Modifier 22 is designated for services that require a considerably higher level of effort than normal. This could mean the particular service involves an increased duration, technicality, complexity, patient condition severity, physical and mental effort, or a different factor is beyond what is usually necessary for the given […]

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