Understand the Basics of Radiology Billing Codes

Basics of Radiology Billing Codes To receive accurate insurance reimbursements it is important to have a detailed understanding of radiology billing codes. The Current Procedural Terminology (CPT) code range for radiology procedures is 70010-79999, which is maintained by the American Medical Association (AMA). This code range is further sub-divided into 7 groups namely, 70010-76499: Diagnostic […]

Can In-Network Provider Balance Bill?

In-network providers generally cannot balance bill patients. When a healthcare provider participates in an insurance network, they agree to accept the insurer’s contracted rates as payment in full for covered services. This means that the provider cannot charge patients for the difference between their usual fees and the lower rates negotiated with the insurer. An […]

How to Become In-Network with Insurance Companies?

Becoming an in-network with insurance companies means that a healthcare provider has contracted with multiple insurance companies to provide healthcare services to the insurance company’s members at a negotiated rate. When a healthcare provider becomes an in-network provider, they agree to accept the insurance company’s reimbursement rates for covered services, which are typically lower than […]

Understanding Basics of Ambulatory Coding

Before we dive into understanding the basics of ambulatory coding, let’s define Ambulatory Surgical Centers (ASC). Defining Ambulatory Surgical Centers (ASC) The Centers for Medicare & Medicaid Services (CMS) defines Ambulatory Surgical Centers (ASCs) as facilities that provide same-day surgical care, including diagnostic and preventive procedures. ASCs are also sometimes referred to as outpatient surgery […]

Understanding CT Scan Coding Guidelines

Basics of CT Scan Coding CT scan coding guidelines refer to a set of rules and principles used to assign appropriate codes to diagnostic imaging procedures performed using Computed Tomography (CT) technology. The purpose of these guidelines is to ensure accurate and consistent coding of CT scans across different healthcare settings, including hospitals, clinics, and […]

Understanding Claim Denials in Plastic Surgery

Claim denials in plastic surgery can have several negative consequences for the patient and the plastic surgeon. Apart from financial losses, they could lead to delayed treatments, increased administrative burden, negative impact on patient satisfaction, and overall damage to the plastic surgeon’s reputation. Plastic surgeons must work closely with insurance companies to ensure that claims […]

MBC: Leading Oncology Medical Billing Company

Medical Billers and Coders (MBC) is a leading medical billing company providing complete medical billing and coding services for various billing specialties, including oncology. As a leading oncology medical billing company, we provide comprehensive revenue cycle management services, including charge entry, benefits verification, claim submission, payment posting, denial management, accounts receivable, and provider credentialing. Our […]

Avoiding Common Mistakes in Cardiology Coding

Avoiding common mistakes in cardiology coding is essential for smooth operations and day-to-day activities of cardiology practice. Cardiology coding mistakes could lead to decreased revenue, compliant risks, increased admin workload, practice reputation damage, and increased healthcare costs. The impact of cardiology coding mistakes can be far-reaching and costlier than just reduced reimbursements. It’s always advisable […]

Understanding Internal Medicine Coding Challenges

Internal Medicine Coding Challenges Internal medicine involves diagnosing, treating, and preventing diseases affecting adults. Coding for internal medicine requires understanding the relevant medical terminology, coding guidelines, and documentation requirements. Some unique internal medicine coding challenges include: Coding for chronic conditions: Internal medicine often involves managing chronic conditions such as diabetes, hypertension, and heart disease. Accurately […]

Why Providers are not hiring an In-House Medical Billing Team?

There are several reasons why healthcare providers are not hiring an in-house medical billing team. The reasons include high cost, limited expertise, high employee turnover, and compliance risk. Limitations of In-House Medical Billing Team There are several limitations of having an in-house medical billing team, including: Cost: Maintaining an in-house billing team can be expensive. […]

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