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  • Posts tagged "Medical Necessity"

Posts tagged "Medical Necessity"

What are and When to Use Modifier Codes

February 10, 2024 / admin / Anatomic Modifiers, Articles, Bilateral Surgery Modifiers, CMS, Coding, CPT, CPT Codes, CPT Definitions, Global Surgery Modifiers, HCPCS Codes, Medical, Medical Billing, Medical Coding, Missing Modifiers, Modifier Codes, Modifiers, Procedure Modifiers
Medical Billing White Guy

Modifier codes are an important part of medical billing and coding. They provide additional information about a medical procedure or service to help ensure proper reimbursement. Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the most […]

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Anatomic Modifiers, Bilateral Surgery Modifiers, Billing, Coding, Coding and Billing, CPT, CPT definitions, CPT-10, Global Surgery Modifiers, HCPCS, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Coding, Medical Necessity, NCCI, NCCI Edits, Payer Policies, Procedure Modifiers, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

Top Strategies to Drastically Reduce Claim Denial Rates in 2024

February 5, 2024 / admin / Appeals Management, Articles, Claim Denial Prevention, Claim Denial Rate, Claim Denials, Claim Rejection, Denial Management, Denial Trends, Denied Claims, Denied Medical Claims, Medical Necessity, Patient Insurance Eligibility, Pre-certifications, Preventable Denial Rates, Reducing Denials
Medical Claim Denied Doctor

Claim denials continue to be a persistent challenge for healthcare providers in 2024. The costly administrative burden of denied claims and appeals, coupled with lower revenues and margins, puts increasing pressure on organizations to find ways to prevent denials and increase collections. The good news is there are proven strategies providers can implement to proactively […]

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Appeals management, Authorizations, Claim Denial Prevention, Denial Rates, Documentation, Medical Necessity, Patient Demographic/Insurance Data, Patient Insurance Eligibility, Pre-Certifications, Preventable Denial Rates, Reducing Denials, verification

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Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • Life Science Lab Doctor Using Microscope AI

    How Artificial Intelligence (AI) is Reshaping Life Sciences

  • White Male Doctor w/ Black Female Administrator

    10 Credentialing KPIs Every Healthcare Provider Should Know

  • Artificial Intelligence Robot Thinking

    How is AI Being Used in Healthcare?

  • Payer Contract Negotiations, with White Male Medical Doctor

    10 Payer Contracting Use Cases

  • White Male Medical Doctor Needing Credentialing

    Struggling with Credentialing? Medwave Can Help!

  • Agreement to Negotiate Contracts in Healthcare

    How to Restructure Payer Contracts

  • White Female Medical Doctor Smiling

    Credentialing for New Graduates: From Residency to Practice

  • Payer Contract Management in Healthcare

    Payer Contract Management Strategies for Healthcare Providers

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