Speech Therapy

Speech therapy is a type of therapy that helps individuals who have difficulty with communication, language, or speech-related disorders. Speech therapists, also known as speech-language pathologists, work with individuals of all ages to improve their communication skills. The therapy sessions may involve exercises to improve pronunciation, vocabulary, and grammar, as well as techniques to help […]

Occupational Therapy

Occupational therapy (OT) is a type of therapy that helps individuals of all ages to develop or maintain the skills necessary for daily living and working. Occupational therapists work with individuals who have physical, developmental, emotional, or cognitive disabilities or limitations. They focus on improving the individual’s ability to perform everyday tasks, such as dressing, […]

Physical Therapy (PT)

Physical Therapy Billing & Credentialing Billing and coding for physical therapy (PT) practices are evolving every year. Even with the new 3-level evaluation codes put into place this year, CMS is still collecting data throughout 2017 to see if there need to be more changes made to how physical therapists are reimbursed. There are multiple rules […]

Chiropractic

Chiropractic Billing & Credentialing Chiropractic billing does not incorporate very many CPT codes, but if the claims are not billed correctly it can be a very costly mistake for your practice. Medwave has a dedicated team of chiropractic billing experts in the Pittsburgh region that can help you and your office succeed in getting claims paid […]

Essential Procedures in Medical Claims Billing

October 25, 2024 / admin / Accurate Coding, Articles, Billing, Billing Denied Claims, Charge Entry, Claim Billing, Claim Denial, Claim Denial Rate, Claim Denials, Denial Management, Denied Claims, Fee Schedule Management, Proper Documentation

If you’ve ever wondered why medical billing seems so complicated, you’re not alone. The process of billing medical claims involves numerous critical procedures that must be followed meticulously to ensure proper reimbursement and compliance. Let’s dive into the most important procedures that can make or break the medical billing process. Patient Information Verification One of […]

Surgery Center Billing: A Modern Guide to ASC Revenue Cycle Management

October 23, 2024 / admin / Ambulatory Surgery Center (ASC) Billing, Articles, ASC, ASC Billing, ASC RCM, ASC Revenue Cycle Management, Revenue Cycle Management, Revenue Cycle Management (RCM), Surgery Billing, Surgery Center Billing

Ambulatory Surgery Center (ASC) billing is a complex and nuanced process that requires detailed understanding of multiple healthcare regulations, coding systems, and reimbursement methodologies. As outpatient procedures continue to grow in popularity and complexity, efficient and accurate billing practices have become crucial for the financial success of surgery centers. We explores the key aspects of […]

Will Medical Billing and Coding Be Replaced by AI?

October 18, 2024 / admin / AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI RCM, AI-driven RCM, Articles, Artificial Intelligence, Biling Codes, Coding, Coding Accuracy, Coding and Billing

The healthcare industry is undergoing a rapid transformation, driven by technological advancements and the increasing adoption of artificial intelligence (AI). One area that has garnered significant attention is medical billing and coding, a crucial component of healthcare administration. As AI continues to evolve and demonstrate its capabilities in various sectors, many wonder: will medical billing […]

Medical Billing AI and Automation Trends to Watch

October 4, 2024 / admin / AI, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, Articles, Artificial Intelligence, Automated Billing, Automation, NLP, Predictive Analytics, Robotic Process Automation, RPA, RPA Adoption

Robotic Process Automation (RPA) Medical Billing

The healthcare industry is undergoing a dramatic transformation, and medical billing is at the forefront of this revolution. As healthcare providers face mounting pressure to reduce costs while improving patient care, artificial intelligence (AI) and automation technologies are emerging as powerful solutions to streamline the complex, time-consuming process of medical billing. We scan the current […]

Understanding Urgent Care Billing

September 23, 2024 / admin / Articles, Billing, Medical Billing, Medical Billing and Coding, Urgent Care, Urgent Care Billing, Urgent Care Center, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers

Urgent care centers have become an increasingly popular option for patients seeking immediate medical attention for non-life-threatening conditions. These facilities bridge the gap between primary care physicians and emergency rooms, offering convenient, accessible care without the need for an appointment. However, the billing processes for urgent care services can be complex and often confusing for […]

For Medical Billers, Coding Accuracy is Valued Above All

September 21, 2024 / admin / Articles, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Intricacies, Coding versus Billing, Medical Coder, Medical Coders, Medical Coding, Medical Coding Accuracy, Medical Coding Quality

Medical billing stands as a crucial link between healthcare providers and payers. At the heart of this process lies a fundamental principle that every medical biller must embrace: the paramount importance of accuracy in coding. We delve deep into why coding accuracy is not just a best practice, but an absolute necessity in medical billing, […]

How AI is Improving Medical Coding Accuracy and Efficiency

September 19, 2024 / admin / AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Articles, Coding, Coding and Billing, Medical Coding, Natural Language Processing

Accurate and efficient medical coding is crucial for proper billing, reimbursement, and overall patient care. As the healthcare industry continues to evolve, artificial intelligence (AI) is emerging as a game-changing technology in the field of medical coding. We inspect how AI is revolutionizing the medical coding process, improving accuracy, and boosting efficiency in ways that […]

Medical Coding vs. Medical Billing: Understanding Their Difference

September 13, 2024 / admin / Articles, Billing, Billing Codes, Coding, Coding and Billing, Coding versus Billing, Healthcare Billing, Healthcare Revenue, Medical Billing, Medical Billing and Coding, Medical Coder, Medical Coding

Two crucial roles often cause confusion due to their interconnected nature: medical coding and medical billing. While both are essential components of the healthcare revenue cycle, they involve distinct responsibilities, skill sets, and career paths. We aim to demystify these professions, highlighting their differences, similarities, and importance in the healthcare industry. Introduction to Medical Coding […]

How to Become a Medical Biller

September 12, 2024 / admin / Articles, Billing Resources, Billing RPA, Billing Salaries, Billing Staff, Medical Billing, Medical Billing AI, Medical Billing Analytics, Medical Billing Careers, Medical Billing Jobs, Medical Billing Salaries

Medical billers play a crucial role in ensuring that healthcare providers receive proper compensation for their services. If you’re interested in a career that combines healthcare knowledge with financial acumen, becoming a medical biller might be the perfect path for you. We’ll guide you through the process of entering this rewarding field, from understanding the […]

Maximizing Healthcare Provider Reimbursement

August 9, 2024 / admin / Articles, Charge Capture, Data Analytics, Denial Management, Fee Schedule, Medical Coding, Outsourced Billing, Payer Contract, Payer Contracting, RCM, Reimbursement, Reimbursement Models, Reimbursement Optimization, Value-based Care

Achieving maximum reimbursement is crucial for healthcare providers to maintain financial stability and continue delivering high-quality patient care. We explore key strategies and best practices that healthcare providers in the United States can implement to optimize their reimbursement processes and maximize revenue. Understanding the Reimbursement Landscape Before diving into specific strategies, it’s essential to understand […]

Navigating Pharmacogenomic Billing

August 3, 2024 / admin / Articles, Billing, Claim Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenomic Billing, Pharmacogenomic Claims, Pharmacogenomic Codes, Pharmacogenomics

Pharmacogenomics, the study of how an individual’s genetic makeup influences their response to drugs, has revolutionized the field of medicine. This cutting-edge approach allows healthcare providers to tailor drug therapies to a patient’s unique genetic profile, potentially improving treatment efficacy and reducing adverse reactions. However, as with many innovative medical technologies, the billing and reimbursement […]

Emerging Medical Billing Trends in 2025

August 2, 2024 / admin / AI, Articles, Artificial Intelligence, Automated Billing, Automation, Billing, Billing Automation, Blockchain, Blockchain in Healthcare, Blockchain Technology, Cybersecurity, Data Interoperability, FHIR, Health Level 7, HL7, Machine Learning

The landscape of medical billing is undergoing a rapid transformation as we approach 2025. Driven by technological advancements, changing patient expectations, and evolving healthcare delivery models, the traditional approaches to medical billing are being revolutionized. We aim to explore the emerging trends that are reshaping the medical billing industry, offering insights into how healthcare providers, […]

The Impact of ICD-11 on Medical Billing Practices

July 19, 2024 / admin / Articles, Healthcare, ICD-10 to ICD-11, ICD-11, International Classification of Diseases, International Classification of Diseases 11th Revision, Medical, Medical Billing

The healthcare industry is on the cusp of a significant transformation with the introduction of the International Classification of Diseases, 11th Revision (ICD-11). This comprehensive update to the global standard for health data, clinical documentation, and statistical aggregation promises to revolutionize medical billing practices. The key features of ICD-11 and its potential impacts on the […]

10 Tips to Optimize Medical Billing for Maximized Collections

June 2, 2024 / admin / Articles, Billing, Billing KPIs, Billing Outcomes, Billing Software, Billing Staff, Billing Technologies, Healthcare Billing, Medical Billing, Outsource Medical Billing, Outsourced Billing

Medical billing can be a massive headache. Between keeping up with ever-changing regulations, dealing with rejected claims, and chasing down payments, it’s enough to make anyone’s head spin. But here’s the thing – optimizing your medical billing process is crucial for maximizing collections and keeping your practice financially healthy. Think about it this way: every […]

Understanding the Latest Healthcare Regulatory Changes Impacting RCM

March 8, 2024 / admin / Affordable Care Act, Articles, Coding and Documentation, Cybersecurity, Data Privacy, Health Equity, Interoperability, Non-Discrimination Regulations, Price Transparency, RCM, Regulatory Changes, Regulatory Compliance, Regulatory Requirements, Revenue Cycle Management, Telehealth, Value Based Care, Virtual Care Regulations

The healthcare industry is dynamic, and staying up-to-date with the latest regulatory changes is crucial for efficient Revenue Cycle Management (RCM). RCM encompasses the processes involved in tracking and collecting patient service revenue, from the initial registration and appointment scheduling to the final payment of balances. Failure to comply with regulatory requirements can result in […]

HL7 vs FHIR: The Key Differences

February 22, 2024 / admin / Articles, Fast Healthcare Interoperability Resources, FHIR Adoption, FHIR API, FHIR APIs, FHIR Bundles, Health Level 7, HL7, HL7 API, HL7 FHIR, HL7 Interface, HL7 messaging, HL7 Standard, HL7 v2.x, HL7 vs FHIR, HTTP Methods, JSON, JSON/XML, RESTful web APIs, XML

Health information exchange (HIE) is crucial for improving healthcare quality, safety, efficiency, and reducing costs. Two major standards for exchanging healthcare information electronically are Health Level 7 (HL7) and Fast Healthcare Interoperability Resources (FHIR). Both play important roles in healthcare interoperability, but have key differences. We take an in-depth look at HL7 and FHIR, their […]

Home Infusion Therapy

Home infusion therapy services involve administering medications, nutrients, or other solutions intravenously, subcutaneously, or through other non-oral routes in a patient’s home. Home infusion allows patients with chronic conditions like cancer, gastrointestinal diseases, and immune deficiencies to receive treatment while avoiding lengthy hospital stays. The home infusion industry has grown rapidly in recent years, prompted […]

The Complete Guide to Fixing Common Medical Billing Errors

February 3, 2024 / admin / Articles, Billing, Billing Automation, Billing Errors, Common Medical Billing Errors, Denial Analytics, Diagnosis Code Errors, Incorrect Modifiers, Medical Billing Errors, MGMA, Missing Pre-Authorizations, Procedure Code Mistakes

Improve revenue, reduce denials, and ensure compliance by following these expert billing tips for healthcare providers. Frequent billing mistakes can hurt your medical practice’s bottom line. Discover the most common medical billing errors, their financial impact, and proven steps to prevent them. This extensive billing guide for providers, clinics, and medical billers will help fix […]

The Secret Sauce: Essential Ingredients for Optimized Medical Billing Outcomes

December 27, 2023 / admin / Articles, Biling Codes, Billing, Billing AI, Billing Automation, Billing Best Practice, Healthcare, Healthcare Billing, HIPAA, Medical, Medical Billing, Medical Billing Ingredients, Outcomes, RCM, Reimbursement, Revenue Cycle Management, Robotic Process Automation, RPA, Secret Sauce

Medical billing sits at the heart of provider revenue cycles, yet few fully appreciate the complexities billing teams navigate to keep financial flows stable. Between interpreting endless payer policies, wrestling with outdated technology, and managing behind-the-scenes patient communications, it takes specialized skills to turn charges into reimbursements. It serves as the financial backbone of the […]

Billing for Treatment of New COVID-19 Variants (EG.5, FL.1.5.1 and BA.2.86)

August 22, 2023 / admin / Articles, BA.2.86, Billing, Billing AI, Billing Services, Coronavirus, Coronavirus Testing Billing, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 variants, EG.5, FL.1.5.1, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5

The COVID-19 pandemic has persisted due to the continued emergence of new SARS-CoV-2 variants. As the novel coronavirus has spread globally, mutations in the viral genome have given rise to distinct new strains that present evolving challenges. Variants like Omicron and its sublineages have demonstrated a higher transmissibility and ability to evade immunity compared to […]

The Ultimate Guide to the Best Schools for Medical Billing and Coding

May 16, 2023 / admin / Articles, Billing, Coding, CPT, CPT Code, CPT Codes, HIPAA, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, Medical Coder, Medical Coding

Medical Billing, Coding Universities, with Blonde Girl Studying

Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]