2025 GI Coding Cheat Sheet: Accurate Reporting and Reimbursement for Esophagogastroduodenoscopy (EGD)
The American Society for Gastrointestinal Endoscopy (ASGE) ensures that gastroenterology practices have effective methods for accurate reporting and fair reimbursement for procedures, tests, and visits. To help healthcare providers handle GI-specific coding, ASGE has created coding cheat sheets. These sheets offer a concise overview, supporting practices in accurate coding and reimbursement for 2025. What is […]
2025 Radiology Billing Updates: New CPT Codes & Ordering vs. Rendering Rules
Radiology billing can be complex due to the various roles and rules involved, particularly when it comes to distinguishing between the ‘ordering physician’ and the ‘rendering physician.’ These terms, while frequently used, are often misunderstood, leading to billing errors and missed reimbursements. This blog will clarify the differences between ordering and rendering physicians in radiology […]
The Vital Role of Medical Claim Forms in Healthcare Reimbursements
Medical claim forms are essential in healthcare billing. They are formal requests that healthcare providers send to insurance companies, Medicare, Medicaid, or other entities to get reimbursed for services provided to patients. These forms are legal documents that prove the payment request based on specific insurance rules. They ensure patients’ healthcare costs are covered, providing […]
Medical Billing Errors Statistics: Impact on Patient Trust – A Complete Analysis
Throughout the healthcare journey, from the first appointment to the billing stage, numerous people from different organizations are involved. But do you know it’s during the billing process that mistakes seem to crop up the most often? Medical billing errors. They are something we have all heard about, but do we really understand their impact? […]
Telemedicine in Healthcare: Benefits, Challenges, and What Lies Ahead
Technological advancements have transformed various aspects of our lives in ways we could never have imagined. In healthcare, for instance, these innovations have enabled medical specialties to extend their reach to regions that previously lacked access, making care more accessible to patients in need. Through telemedicine, physicians across different fields can provide treatment to patients […]
Fee-for-Service vs. Value-Based Care: What Healthcare Providers Need to Know
In the healthcare industry, two main payment models have become the focal points of discussion: Fee-for-Service (FFS) and Value-Based Care (VBC). These models impact how healthcare providers are reimbursed, and understanding their differences is crucial for providers to optimize financial sustainability and patient outcomes. So, let’s analyze these two models closely for your better understanding: […]
Is Value-Based Care the Future of Quality and Affordable Healthcare Delivery?
Value-based care (VBC) is a transformative approach to traditional fee-for-service models, which is facing criticism for their inefficiencies and costly packages in the healthcare world. As patient expectation evolves, the demand for a system that prioritizes quality and affordability increases with time. So, VBC focuses on providing better patient outcomes that align with financial incentives […]
Understanding the Core Factors in Value-Based Care: A Breakdown of 8 Essential Variables
Healthcare providers in the United States face increasing pressure to transition to value-based care models, where compensation is linked to patient health outcomes rather than the volume of services provided. The financial benefits are evident: value-based care helps providers cut unnecessary costs while earning incentives for delivering high-quality, efficient care. These payments come from government […]
Why Medical Billing Audits Are Essential for Ensuring Financial Accuracy
An accurate billing and coding process is the central necessity for any healthcare revenue cycle. For this complex process, medical billing errors due to regulations and reimbursement policies can lead to significant financial loss, claims being rejected or denied, and strained patient relationships. It is where medical billing audits come into help and serve as […]
19 Essential Tips to Speed Up Prior Authorization for Medications
Prior authorization can be a challenging and lengthy process, particularly when it comes to medications. However, it plays a crucial role in confirming that a prescribed medication is medically necessary, suitable for the patient’s condition, and cost-effective. The good news is that there are methods to streamline the process. This guide outlines 19 effective tips […]