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02 Mar 23

Do You Really Need to Have a Medical Coder for Your Business

Medical billing is a complex and time-consuming process. It involves collecting and documenting patient data, filing and processing claims, and tracking payments from insurance companies. What Is a Medical Coder? A medical coder is a professional medical billing specialist responsible for translating medical records into specific codes used for reimbursement…
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How-To-Use-Modifier-25-Correctly
28 Feb 23

How To Use Modifier 25 Correctly

Introduction The OIG has identified the following trends in modifier 25 errors: Modifier 25 should not be used on claims that have been denied by Medicare or have been adjusted to zero. Fewer than 20 percent of modifier 25 claims are correct. Overuse of modifier 25 has increased significantly since…
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Doctor and patient are discussing
23 Feb 23

Navigating Durable Medical Equipment Billing Problems

Durable medical equipment (DME) is a significant component of healthcare. It is used in a variety of settings, including hospitals, clinics, and homes. DME can alleviate the discomfort and improve mobility for patients, often significantly improving their quality of life.  However, DME is a complex and expensive piece of medical…
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wheelchair
16 Feb 23

Knowing the Basics and Main Features of DME Billing

The gear required to meet a medical requirement is known as durable medical equipment (DME). Wheelchairs, specialized equipment, oxygen tanks, hospital beds, ambulatory aids, and other items are all considered DMEs. Most private health insurance plans and Medicare include these items as “DME benefits” when a doctor prescribes their use…
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Document
09 Feb 23

You Need to Outsource Medical Coding for These Reasons

Medical billing and coding outsourcing is when a healthcare organization entrusts the process of medical coding and submitting medical claims to an outside company. This means that the outside company is responsible for accurately and efficiently coding medical services and submitting claims on behalf of the healthcare organization to receive…
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Document
02 Feb 23

Credentialing and Re-Credentialing—Why They’re Important

Credentialing and re-credentialing are two important processes for DME (durable medical equipment) providers. Credentialing is obtaining the necessary documents and certifications to become a DME provider. At the same time, re-credentialing is updating your credentials to meet the constantly changing regulatory requirements. DME providers need to understand the credentialing and…
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Healthcare
26 Jan 23

Why Are Medical Coders Important in The Healthcare Sector?

The healthcare sector’s revenue cycle management (RCM) team must include medical coders. Healthcare facilities, insurance payers, and patients can manage the intricacies of the numerous rules, regulations, and conventions linked to the business side of healthcare with the help of a competent coder.  Medical coding jobs are appealing because they…
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07 Jan 23

Medical Coding & Billing Errors And Its Management

Introduction Medical coding and billing is a process of assigning codes to medical services rendered by physicians, hospitals, laboratories and other healthcare providers. It is a standard set of symbols or abbreviations used to describe medical conditions in order to facilitate the recording and reporting of healthcare information used in…
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