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Common CPT Codes for Mental Health Billing

Common CPT Codes for Mental Health Billing

Current procedural terminology (CPT) codes are the backbone of accurate medical billing and coding processes. It is used to identify different types of mental health services, ranging from psychiatric evaluation to psychotherapy sessions and medication management. Being familiar with complex mental health medical billing is crucial for providers and therapists, not only

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How are Modifiers 59, 25, and 91 used in Medical Billing?

How are Modifiers 59, 25, and 91 used in Medical Billing?

Medical coding modifiers, which are alphanumeric characters, are added to HCPCS (Healthcare Common Procedure Coding System) or CPT (Current Procedural Terminology) codes. These modifiers in medical billing are used to provide additional information related to medical procedures, services, or supplies without changing the original meaning of the code. Additionally, they serve

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What are Modifiers in Medical Billing and Coding

What are Modifiers in Medical Billing and Coding

For a successful claim submission, every detail matters. The fate of the billing process depends on the accuracy of the codes assigned by the medical coders. Sometimes, the coders need to add another code to provide additional information. These additional codes, known as modifiers, play a crucial role. Using the correct

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HIPAA Compliance in Medical Billing: All you need to know

HIPAA Compliance in Medical Billing: All you need to know

According to a recent study, approximately 40% of healthcare organizations are unaware of the latest HIPAA compliance policies and guidelines. This situation is particularly alarming because HIPAA violations not only result in heavy fines and penalties but also entail numerous other legal complications. Consequently, any healthcare provider dealing with health

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How to Maintain Patient Privacy in Healthcare

How to Maintain Patient Privacy in Healthcare

In the digital age, ensuring the security, privacy, and protection of a patient’s healthcare data is not easy. Patient privacy is not merely a legal obligation of a healthcare organization but a fundamental right of the patient to keep his health-related information confidential. The Health Insurance Portability and Accountability Act of

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Common Mistakes for Insurance Denials and How to Avoid Them

10 Common Mistakes for Insurance Denials and How to Avoid Them

For healthcare providers, solving insurance claims often resembles solving a complicated puzzle. Denied claims not only impede the financial growth of a practice but also interfere with the proper payment for the necessary services provided. The consequences go beyond delayed payments to higher operational costs and a possible financial burden on patients.

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How to overcome Healthcare revenue cycle management mistakes

How to Overcome Revenue Cycle Management Mistakes in Healthcare

To succeed in the healthcare industry, organizations must maintain an accurate healthcare revenue cycle along with the patient care. Common healthcare revenue cycle management mistakes, such as incomplete documentation, downcoding and patient insurance verification issues can lead to significant revenue challenges. A well-functioning RCM ensures optimal financial performance and patient satisfaction.

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6 Strategies to Counter Emergency Room Billing Challenges

6 Strategies to Counter Emergency Room Billing Challenges

Emergency room billing is the process of submitting claims to the healthcare payer for the services rendered to the patient in an emergency room. The bills cover a whole set of charges associated with the medical services provided. Accurate emergency room billing is essential for several reasons . This includes

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8 Essential KPIs to Monitor in Healthcare Revenue Cycle

8 Essential KPIs to Monitor in Healthcare Revenue Cycle

Are you looking for an optimized cash flow for your healthcare organization? There are certain KPIs that help your healthcare facility track its financial performance and ensure steady revenue collection. Key Performance Indicators (KPIs) in the healthcare revenue cycle are measurable metrics that are used to evaluate the effectiveness of

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A Professional's Guide to Medicaid Credentialing

A Professional’s Guide to Medicaid Credentialing

Medicaid is the nation’s public health insurance program. It opens up opportunities for healthcare providers to serve a diverse range of populations. Any error during the Medicare enrollment or credentialing process can put a physician in hot water. His contract with the State Medicaid Agency can be terminated, leaving him unable to get paid.

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