The Medicare Physician Fee Schedule (MPFS) sets payment rates for services provided by physicians and other healthcare professionals to Medicare beneficiaries. Each year, the Centers for Medicare & Medicaid Services (CMS) updates the MPFS to reflect changes in the healthcare industry, including updates to billing codes and reimbursement rates. In 2018, there were several changes…
Medical billing and coding can be a complex and confusing process, especially when it comes to clinical diagnostic labs. Healthcare providers and patients alike often struggle to understand the charges associated with lab tests and services. In an effort to increase transparency and address concerns about overbilling and unnecessary testing, the Centers for Medicare &…
Payment denials can have serious consequences for individuals and businesses alike. Whether it’s a denied insurance claim, a chargeback from a credit card company, or a rejected payment from a customer, these occurrences can lead to financial losses, legal disputes, and damaged relationships. In this blog post, we will explore the legal implications of payment…
Payment denials can be a common occurrence in the healthcare industry, with insurance companies often refusing to pay for certain treatments or services. If these denials are not addressed promptly and effectively, they can have serious consequences for healthcare providers. In this article, we will explore the potential repercussions of not addressing payment denials in…
Payment denials can be a frustrating and time-consuming challenge for healthcare providers, including clinicians. Navigating the complex world of insurance reimbursement can be overwhelming, but there are resources and support systems available to help clinicians effectively deal with payment denials. In this blog post, we will explore who can support clinicians in dealing with payment…
When it comes to medical billing and payment processing, insurance plays a crucial role in determining whether a claim will be approved or denied. Understanding how a patient’s insurance coverage impacts payment denials is essential for healthcare providers and patients alike. In this article, we will explore the various factors that influence payment denials and…
Medical coding is an essential part of the healthcare industry, as it ensures that healthcare providers are properly reimbursed for the services they provide. However, incorrect coding can lead to denials from insurance companies, resulting in lost revenue for healthcare facilities and frustration for clinicians. In this article, we will discuss the importance of correct…
Payment denials can be frustrating, but it’s important to know that you have options for challenging them. In this blog post, we will outline the steps you can take to challenge a payment denial and hopefully get the resolution you’re looking for. Understanding Payment Denials Before we dive into the process for challenging a payment…
Payment denials can be a frustrating and costly issue for healthcare providers. When a claim is denied, not only does it result in delayed payments, but it also requires additional time and resources to rectify the situation. In order to prevent payment denials, providers must be proactive in their approach to claims submission and follow-up….
Introduction Payment denials can be a frustrating part of the healthcare industry for clinicians. When a claim is denied, it means that the insurance company has determined that the services provided were not covered or did not meet their criteria for payment. This can result in financial losses for the clinician and their practice. However,…