CPT 75716 Description CPT 75716 refers to a radiological procedure known as “Angiography, extremity, unilateral, radiological supervision and interpretation.” This procedure involves the use of X-rays to examine the blood vessels in one extremity (arm or leg) to diagnose conditions such as blockages, narrowing, or aneurysms. It requires a contrast medium to be injected into […]
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 […]
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 […]
What is Unbundling Codes? Unbundling codes in medical billing refers to the practice of separately billing for individual components of a medical procedure or service, rather than billing for the complete procedure or service as a single entity. This practice can result in higher payments to healthcare providers and higher costs for patients and insurers. […]
Revenue Leakage in Medical Billing ‘Revenue leakage’ refers to situations where a healthcare provider doesn’t receive insurance reimbursement for delivered services. In such billing situations, accounts receivable remain unpaid for too long and eliminate the chances of payment recovery, even partially. Healthcare practices cannot afford to ignore their revenue leakage as it’s directly affecting their […]
Patients Love Telehealth Healthcare providers and patients used to see medical care as something best done in-person. But the COVID-19 pandemic changed everything including a massive transition to virtual care. According to McKinsey Consumer Health Insights Survey, patients still prefer the convenience of digital engagement and virtual care options. This patient preference is an opportunity […]
HIPAA was officially enacted in the year 1996 by the United States Congress. HIPAA has two titles–Title I of the rule is to protect individuals and families under the circumstances when they lose their jobs or when they change their jobs. Title II also known as the administrative simplification provision requires the establishment of electronic […]
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