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@michealceditor·Hidden Losses: A Practical Guide to Uncovering Revenue Leakage in Your Medical…
From coding and billing errors to practice management missteps, we explore the root causes of revenue leakage and provide practical tools to protect your revenue.
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@michealceditor·
ICD-10-CM FY 2026 Code Updates: What Coders Need to Know Before October 1, 2025
Effective for discharges and encounters from October 1, 2025, through September 30, 2026, this release introduces 487 new diagnosis codes, 38 code revisions, and 28 code deletions.
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@michealceditor·
2025 CPT® Telemedicine Coding Overhaul: What You Need to Know
These updates aim to streamline the reporting of evaluation and management (E/M) services delivered via telehealth—whether through synchronous audio-video or audio-only communication.
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@michealceditor·
Mastering E/M Coding: How to Safeguard Your Revenue and Stay Audit-Ready
Documentation errors, whether undercoding or overcoding, can make you a target for payers who are becoming more proactive in spotting inconsistencies and recouping payments. A single bad audit can lead to more extensive investigations.
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@michealceditor·
Case Study: Optimizing Accounts Receivable for a Leading Ambulatory Surgical…
In this case study, we explore how a leading Ambulatory Surgical Center enhanced its accounts receivable management and reduced outstanding balances by implementing robust revenue cycle strategies.
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@michealceditor·
Essential Strategies for Successful Contract Negotiation with Payors
This comprehensive guide provides detailed insights that will help physicians navigate the complexities of contract negotiation and ensure financial stability.
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@michealceditor·
Chiropractic Billing: 5 Ways to Augment your Revenue
Medicare has many restrictions and commercial payors may have a lesser number. Documentation of medical necessity is critical to get claims paid.
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@michealceditor·
Ambulance Billing: Best Practices to Maximize Revenue
Ambulance services are handled by paramedics and other medical professionals. They are well trained and equipped to carry out the first aid and transportation.
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@michealceditor·
Why is Patient Demographics Crucial in Medical Billing?
The correctness and completeness of demographics data of patients assumes importance. Patient demographics entry is the basis of a claim.
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@michealceditor·
Dermatology Coding: Avoid Common Errors And Increase Your Revenue
dermatology coders must be able to distinguish between simple, intermediate and complex repairs.
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@michealceditor·
How can a superbill benefit your patient?
The superbill contains the list of services provided to a patient. Along with the list of services, the superbill will show the costs and codes for each exam, treatment, or procedure. It will also contain information about the patient, provider…
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@michealceditor·
Clean-up Aging Accounts Receivable (AR) Using Onshore and Offshore Resources
Healthcare revenue cycle management is a complex process. Adding to the complexity is the fact that rules and regulations as well as codes keep changing regularly.
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@michealceditor·
What is Healthcare Revenue Cycle Management?
RCM begins when a patient makes his/her appointment to visit a physician. And it ends when all payments due to the physician for services rendered are collected from payors and patients. The process from start to finish is rather complicated.
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@michealceditor·
5 Podiatry Coding Mistakes that Impact your Cash Flow
Medicare and commercial payors insist on medical necessity for foot care and thus, coding in podiatry specialty and revenue cycle management (RCM) is an area where confusion reigns.
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@michealceditor·
Effective Denial Management with Rigorously Tested Strategies
Medical professionals submit millions of claims every day to payors. Most claims are reimbursed fully by payors. As per the AMA reports, claims denied on the first submission amount to 1.38% to 5.07% of the total claims.
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@michealceditor·
Want to Run RCM Operations Efficiently? Check out these Best Practices
A medical facility’s entire financial process is termed Healthcare Revenue Cycle Management (RCM) and it covers management and collection of revenue from healthcare service to patients.
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@michealceditor·
5 Strategies to Dynamically Manage Accounts Receivable Days
Account Receivables Days or AR Days indicates the time taken to receive payment on a claim. Accounts Receivable Days is a significant indicator of the financial health of a practice.
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@michealceditor·
BristolByte: A Trusted Workflow Management Software
Medical coding and billing is an invisible engine in the healthcare industry. No healthcare entity can sustain itself without consistent cash flow.
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@michealceditor·
What is a Superbill? What Information Does it Contain?
A medical superbill or encounter form is the primary source of data for preparing claims and contains the list of services provided to a patient. Along with the list of services, the superbill will show the costs and codes for each exam, treatment…
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@michealceditor·
Denial Management: 5 Effective Methods to Shrink Denials
Studies have shown that many practices do not appeal to denial as they consider the denial management process expensive compared to the amount they will receive from payors.
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@michealceditor·
Importance of Medical Coding Services
medical coding enables the efficient transmission of vast amounts of data. Moreover, it allows for uniform documentation of illnesses and treatments between medical facilities. At a national level, federal agencies use coding to track the…
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@michealceditor·
4 Smart Ways of Billing to Increase Revenue for Pediatricians
Pediatric care encompasses a broad spectrum of health services ranging from preventive health care to the diagnosis and treatment of acute and chronic diseases.
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@michealceditor·
What are the Major Challenges in Physician Credentialing?
Physician Credentialing is the process of checking a provider’s competency, as demonstrated by education, training, licensing, and work experience.
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@michealceditor·
3 Methods that Guarantee Increased Revenue for your Practice
The primary and the most crucial aspect of reducing claims denials and improving medical practice revenue is understanding the medical coding and billing process completely.
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@michealceditor·
3 Steps to Handle AR and Create an Effective RCM Cycle
The following three steps will help you to minimize rejections and keep your AR manageable. Naturally, a low AR translates to a healthy revenue cycle.
