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Upcoding in medical billing
Medical Coding

What is Upcoding in Medical Billing and Why should it be Avoided?

According to a report under the False Claims Act, upcoding crimes results in some serious consequences, such as 5 years of imprisonment and fines worth up to $250,000. These hardcore penalties grab the attention of everyone related to the healthcare...

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by admin
November 22, 2023November 22, 2023November 30, 2023
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upcoding in medical billing
Downcoding in medical billing
Medical Coding

How DownCoding Can Break Your Revenue?

Understanding downcoding is essential to ensuring accurate and effective claim submission and timely reimbursement. Downcoding has significant implications for healthcare providers. According to medical billing industry reports, approximately 8%–10% of claims are affected by the downcoding. This percentage has increased...

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by admin
November 15, 2023November 15, 2023November 30, 2023
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tags:
Downcoding, Downcoding in medical billing
co-45 denial code
Medical Coding

Cracking the CO-45 Denial Code: A Blueprint for Providers’ Claim Success

One of the most challenging situations a healthcare facility can face is claim denial from insurance companies. Denials need to be addressed promptly for timely reimbursement. According to the American Medical Association’s (AMA) recent report on the National Health Insurer...

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by admin
November 10, 2023November 10, 2023November 30, 2023
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tags:
co-45 denial code

Latest Posts

  • Beyond the Bills: Understanding the Dynamics of Hospital Billing
  • All you need to know about Clean Claims in Medical Billing
  • What is Payment Posting in Medical Billing?
  • A Comprehensive Guide on Emergency Room Billing
  • What is Upcoding in Medical Billing and Why should it be Avoided?

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