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Understanding Key Differences for Accurate Orthopedic Billing
Fracture care billing orthopedics is one of the most misunderstood and frequently misbilled areas in orthopedic revenue cycle management. Orthopedic practices often struggle to distinguish between definitive fracture care and follow-up visit billing, leading to denied claims, underpayments, and com...
Many mental health providers experience billing problems but struggle to pinpoint the source. You may feel that your practice is busy, your schedule is full, yet your revenue doesn’t reflect the work you’re doing. These mental health billing problems often go unnoticed for months or even years, slowly draining income while creating frustration and uncertainty. What makes the ...
Medicaid managed care has transformed how healthcare providers deliver services and get reimbursed. Today, more than 70% of Medicaid beneficiaries are enrolled in Managed Care Organizations (MCOs) rather than traditional fee-for-service Medicaid. While this model aims to improve care coordination and reduce costs, it has also introduced new administrative challenges for provi...
Cardiology is one of the most complex medical specialties when it comes to coding, documentation, and reimbursement. With high-acuity patients, multi-step diagnostic procedures, and frequent use of imaging and device-related services, cardiology requires precise coding that aligns with payer rules. Even small mistakes can lead to significant claim denials, underpayments, and ...
Reconstructive surgery billing is one of the most complex areas of medical billing due to the level of detail required, the strict documentation standards, and the frequent need to prove medical necessity. For providers who perform reconstructive procedures every day – whether in plastic surgery, trauma surgery, oncology-related reconstruction, or hand surgery – an experience...
