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Independent dispute resolution (IDR) can be used as a method to resolve out-of-network payments in surprise billing. IDR can help…
Insurance denial is when an insurance company declines to cover a medical claim submitted by a healthcare provider or patient.…
Common emergency department diagnoses include: chest pain, shortness of breath, abdominal pain, trauma (such as from a fall or car…
Effective January 1, 2023, E/M Introductory Guidelines related to Hospital Inpatient and Observation Care Services codes 99221-99223, 99231-99239, Consultations codes…
You can normally find the BCBS phone number for providers, customer service, claims and benefits verification on the back side…
In ICD-10, there are seven possible characters for filling out a code. The first three offer the diagnosis category. The…
Proper HCC coding is critical for predicting future healthcare financial resources and claiming adequate reimbursement. The HCC model is a…
ICD stands for International Classification of Diseases. ICD-10 is the 10th edition of the World Health Organization’s International Statistical Categorization…
Utilization management is crucial to ensure people have access to the appropriate care in the right place and at the…
Insurance verification and authorization are crucial components in the revenue cycle management or medical billing insurance claims process. RCM is…