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Provider Credentialing Steps in Medi-Cal
Provider credentialing is a process by which a healthcare provider is verified to ensure they meet the necessary requirements to provide healthcare services to patients. Some of the provider credentialing steps in Medi-Cal are discussed in this…
Perks of Outsourcing Medical Billing Services
More adoption of outsourcing medical billing services has emerged due to new technological solutions, bad debts, and bills, and expanding and changing regulatory requirements. In this article, we listed some of the perks of outsourcing medical…
Telebehavioral Health Billing Guidelines Before the Pandemic
An article discussing telebehavioral health billing guidelines before the COVID-19 pandemic and the increased incidence of anxiety and depression during social distancing.
Pain Management Billing and Coding Expertise
Accurate pain management billing and coding requires expertise and attention to detail. Legion Healthcare Solutions offers billing and coding professionals.
Polysomnography and Sleep Testing Billing Basics
Legion Healthcare Solutions provides insights into polysomnography and sleep testing billing, addressing sleep problems affecting millions in the United States.
Challenges of Oncology In-House Billing
Oncology billing can be complex due to the variety of treatments and services involved in cancer care, and the governing rules and regulations.
E/M Documentation: What You Need to Know
Learn about E/M documentation guidelines from Legion Healthcare Solutions. It's critical for all entries in a medical record to be legible to prevent errors.
Collecting Deductibles from Patients
As a healthcare provider, your prime focus is supporting your patients and meeting their healthcare needs. But while quality patient care is essential, you can't run your practice without having sound administrative systems in place to keep the…
Understanding Time Based Evaluation and Management (E/M) Billing Overhaul
Under time based evaluation and management (E/M) billing overhaul, time may be used to select a code level in office or other outpatient services whether or not counseling and/or coordination of care dominates the service.
How to Improve a Medical Billing Department
Evaluate existing billing processes and identify areas for streamlining to reduce errors and improve billing efficiency. Streamline medical billing operations by listing all billing and coding activities from appointment registrations up to…
Understanding Category G89 Codes for Pain Management
Category G89 includes codes for acute pain, chronic pain, and neoplasm-related pain, as well as codes for two pain syndromes. In order for you to assign these codes, the physician must document that the pain is acute, chronic, or neoplasm-related.
Unique Challenges of Cardiology Medical Billing
Billing and coding for medical specialties offers unique challenges due to billing guidelines and constantly changing reimbursement policies from various insurance carriers. Cardiology medical billing offers unique challenges as various…
Bariatric Surgery Billing Information
Bariatric surgery is performed to treat comorbid conditions associated with morbid obesity. Legion Healthcare Solutions explains bariatric surgery billing procedures.
Preauthorization for Durable Medical Equipment (DME) Basics
Legion Healthcare Solutions discusses preauthorization for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) before claim submission.
Understanding Basics for Pulmonary Diagnostic Services Coding
Our article on pulmonary diagnostic services coding will assist family practitioners who receive claim denials while billing for pulmonary diagnostic services
Overcoming Revenue Cycle Hurdles Through Outsourcing
Legion Healthcare Solutions explains how outsourcing RCM can overcome revenue cycle hurdles, from scheduling to collections, improving practice management.
Modifiers for Global Surgeries
This blog provides in-depth knowledge of commonly used modifiers for global surgeries to ensure accurate medical billing and compliance.
Billing for Critical Care Visits: Everything You Need to Know
Billing for critical care visits is challenging due to various factors affecting billing scenarios and code selection. When billing for critical care visits, be aware of billing scenarios for single physician/ non-physician practitioner (NPP)…
Emergency Department E/M CPT Code Guidelines
Guidelines for using Emergency Department E/M CPT codes (99281-99285) for physicians seeing patients registered in the emergency department.
Why Choose to Outsource Medical Billing Services
Therefore, in order to avoid this scenario, it is important to hire a Medical Billing Specialist for the team. A medical practice, hospital, or dental office can also choose to Outsource Medical Billing Services to a third-party vendor. Let us…
Understanding Basics of Evaluation and Management Service
In this article, we shared the basics of Evaluation and Management service including applicable procedure codes, level of E/M service, split/shared critical care, and coordination of care and/or counseling.
Guidelines for Chemotherapy Administration Codes
This page provides guidelines for chemotherapy administration codes, spanning CPT codes 96401 to 96542 and 96549. Chemotherapy is defined as the treatment of disease.
Getting Ready for Revenue Cycle Challenges in 2023
In a recent Revenue Cycle Management Virtual Summit, c-suite executives, revenue cycle directors, and other leaders from healthcare organizations discussed the most significant challenges and opportunities in revenue cycle management. These RCM…
Medicare Repair vs. Replacement in Durable Medical Equipment
Durable Medical Equipment (DME) suppliers may have issues differentiating Medicare repair from replacement, leading to inaccurate Medicare reimbursement.
Common Hand Surgery Coding Mistakes
Legion Healthcare Solutions highlights common coding mistakes in hand surgery. Accurate coding ensures proper procedure identification and work quantification, based on AMA's CPT codes.