Grow Your Revenue Exponentially by Getting Credentialed for More Insurance Companies

Physicians/providers are revenue-generating members of hospitals or healthcare organizations. Credentialing enables practitioners to become employable as they can treat patients. Today as health systems are growing continuously, and more and more providers need to being credentialed with insurance carriers to realize exponential revenue growth. But first, we need to understand what is credentialing? The process […]

Efficient RCM Process is the Key to Provider Success in 2021

To overcome the financial impact of pandemic, providers need to measure and focus on an efficient RCM process to get success in 2021. COVID-19 pandemic has a severe impact on the healthcare industry, caused healthcare providers to depend on efficient RCM process to maintain financial stability in 2021 and henceforth. What is RCM Process? Revenue […]

Newly Added Code for Transanal Hemorrhoidal Dearterialization (THD)

Replacing Code 0249T CPT Category III code 0249T, ligation, hemorrhoidal vascular bundle(s), including ultrasound guidance, has been deleted and converted to CPT Category I code 46948, hemorrhoidectomy, internal, by Code for Transanal Hemorrhoidal Dearterialization (THD), 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed. The new code, CPT 46948, more accurately describes […]

Billing for Worker’s Compensation

Workers’ compensation billing is the process of billing an employer’s workers’ comp insurer, not the patient’s health plan, for treatment of a work-related injury or illness. Providers submit a CMS-1500 claim with the date of injury, the workers’ comp claim number, and supporting documentation, and follow fee schedules set by each state’s compensation board. Workers’ […]

What is Medicare Sequestration?

Providers seeing a 2 percent payment decrease on their Remittance Advice (RA) is due to a mandatory sequestration payment reduction. Claim adjustment reason code (CARC) 253 is used to report the sequestration reduction. The code will appear as a CO 253 on the RA ‘Sequestration-reduction in federal payment’ as the reason. For the Medicare Fee-for-Service […]

Handling Timely Filing (CO 29) Denials

Home › Blog › Medical Billing Services › Handling Timely Filing (CO 29) Denials A CO 29 denial means the payer received your claim after its timely filing limit expired. You can fix it in one of two ways. Prove the claim reached the payer on time, or appeal with a valid, documented reason for […]

Handling Denial B9 with Modifiers GV and GW

To handle denial B9 with modifiers GV and GW, first confirm the patient was in hospice on the date of service. Then add the modifier that fits the service. Use GV when an attending physician who does not work for the hospice treats the terminal condition. Use GW when the service has nothing to […]

Medical Nutrition Therapy (MNT) CPT Codes

Medical nutrition therapy (MNT) is a key component of diabetes education and management. MNT is defined as a ‘nutrition-based treatment provided by a registered dietitian nutritionist.’ It includes ‘a nutrition diagnosis as well as therapeutic and counseling services to help manage diabetes. Studies have documented an association between MNT delivered by a registered dietitian and […]

How to Increase Reimbursement for Telephone Calls?

CMS recently announced that it will provide parity in payment for telephone/audio-only services. Specifically, Medicare payment for the telephone evaluation and management visits would be equivalent to Medicare payment for office/outpatient visits with established patients’ effective March 1, 2020. This means that payment for CPT codes 99441-99443 would increase from a range of about $14-$41 […]

Provider Credentialing Issues in healthcare

If you are a provider and you are going to start the credentialing process then you need to read this provider credentialing issue in healthcare. We observed that there are many potential issues and potential costs in the provider credentialing process. Actually, provider credentialing is the most important compliance issue in medical practice. Without credentialing […]

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