Wound care is a critical aspect of healthcare, particularly for individuals with complex or chronic wounds that require advanced treatment modalities. As the population ages and the prevalence of chronic conditions increases, the demand for advanced wound care services covered...

Ambulatory Surgery Centers (ASCs) are essential in delivering excellent, cost-friendly surgery outside a traditional hospital facility. However, handling out-of-network (OON) billing is among the most significant financial problems ASCs must resolve. Compared with in-network c...

Rural Health Clinics (RHCs) are at the heart of healthcare delivery in the United States rural and underserved communities. They provide essential medical services where they are often most needed but least available. Given their critical role, RHCs face unique operational cha...

As pillars of healthcare accessibility, Rural Health Clinics (RHCs) face unique challenges when it comes to billing and coverage. In this comprehensive exploration brought to you by 24/7 Medical Billing Services, we will dissect the intricacies of RHC billing, offering bespoke...

The international medical community recognizes acupuncture as a proven alternative therapeutic practice. The transition from providing therapeutic services to receiving remuneration payments involves multiple complex hurdles. In fact, acupuncturists require complete knowledge...

The 2025 Medicare Physician Fee Schedule (PFS) update by the Centers for Medicare & Medicaid Services (CMS) introduces significant changes to physician reimbursement, with far-reaching effects on medical practices, especially in the areas of Medical billing and coding. Thi...

Durable Medical Equipment (DME) billing compliance is critical for healthcare providers, as improper practices can lead to significant financial and reputational damages. Statistics indicate that the healthcare sector, particularly DME providers, faces a high risk of audit scr...

Effective coding in healthcare is important, especially in terms of reimbursement and payer policy compliance. Coding for preventive visits may be challenging at times, particularly for CPT code 99396. This is for preventive medicine services for established patients aged betw...

Skilled Nursing Facilities (SNFs) play a crucial role in the post-acute patient treatment of elderly patients alongside individuals with complex medical conditions. The payment rates for Medicare, which funds SNF services, undergo regular changes to maintain coverage of increa...

2024 CPT Code Updates: A Comprehensive Guide The CPT 2024 code updates will include 153 new codes spread across the code book. These additions include several Surgery subsections (including Respiratory System, Musculoskeletal System, Urinary System, Cardiovascular System, Fema...

Remote Patient Monitoring Billing Strategies for Rural Health Clinics Effective Remote Patient Monitoring billing strategies for Rural Health Clinics require a multifaceted approach that encompasses accurate coding, strategic utilization of services, compliance with billing cr...

Medicare is one of the healthcare industry’s fastest-growing federal health-insurance programs. With so many patients dependent on Medicare for outpatient services, hospital expenditures are constantly increasing. To cover so many Medicare patients, this causes a financial imb...

Why Data Analytics Is A Game Changer For SNF Billing? In the ever-evolving landscape of healthcare billing, skilled nursing facilities (SNFs) face unique challenges. Accurate billing, reimbursement, and revenue optimization are crucial components of maintaining financial stabi...

Effective Tactics For Streamlining Healthcare Revenue Cycle Management Healthcare Revenue Cycle Management (RCM) is the financial process that healthcare providers use to manage the administrative and clinical functions associated with claims processing, payment, and revenue g...

Simplifying PBHS SUD Fee Schedule For Better Understanding The Fee Schedule is a crucial component of the Public Behavioral Health System (PBHS), outlining service codes and corresponding fees for healthcare providers. The Fiscal Year (FY) 2024 PBHS Substance Use Disorder (SUD...

A Deeper Dive In Medicare Advantage Plans Comply With Medicare Billing Guidelines Medicare Advantage (MA) plans represent a pivotal facet of healthcare delivery, seamlessly combining private innovation with Medicare’s comprehensive coverage. These plans, offered by private ent...

Inpatient Vs. Observation: Decoding The Two-Midnight Rule The Two-Midnight Rule, introduced by the Centers for Medicare and Medicaid Services (CMS)in 2013, is a crucial guideline that governs the classification of patients as inpatients or under observation status in healthcar...

Adapting to the 2024 Home Health Payment Rule with DME Understanding the intricacies of the 2024 Home Health Payment Rule with Durable Medical Equipment (DME) is paramount for healthcare providers to navigate the evolving landscape of reimbursement, coverage policies, and regu...

Effective PT Billing Strategies In Response To Medicare Part B Proposal In the kaleidoscope of healthcare regulations, the unveiling of the Medicare Part B proposal sparks a seismic shift, casting a new silhouette on the canvas of Physical Therapy (PT) billing. This isn’t a ro...

Transforming Healthcare: The Coding And Payment Revolution For SDOH Social Determinants of Health (SDOH) have emerged as a pivotal consideration in understanding patient well-being. Notably, the increasing emphasis on integrating SDOH into medical coding underscores their prof...

Preserving Patient Trust: The Impact of Proper Billing in Chiropractic In the healthcare arena, trust is a fundamental aspect of the patient-practitioner relationship. Patients rely on their healthcare providers not only for expert medical care but also for transparency and in...

Psychiatry and Behavioral Health: Keys to Emotional Resilience The medical industry is constantly evolving, and with each passing year, healthcare professionals rely on the latest tools and resources to provide top-notch care. As professionals in this sector work tirelessly to...

SNF Managed Care Contracts: Negotiation Tips For Higher Reimbursements Unsurprisingly, more healthcare providers and payers are negotiating Skilled Nursing Facility Billing Services managed care contracts, with the medical industry focusing on population health and the need to...

Medicare Part A vs. Part B Billing: Key Differences for Hospitals Medicare is a government-funded healthcare program for anyone over the age of 65. It is also available to younger persons with specific medical issues or challenges. In fact, each component of Medicare is intend...

Why Data Analytics Is A Game Changer For SNF Billing? In the ever-evolving landscape of healthcare billing, skilled nursing facilities (SNFs) face unique challenges. Accurate billing, reimbursement, and revenue optimization are crucial components of maintaining financial stabi...

Orthopaedic treatments look after issues like injuries, congenital deformities or abnormalities, and diseases pertaining to the musculoskeletal system. No matter what the nature of Orthopaedic specialization your clinic specializes in, successful billing practices need that yo...

ASC Billing Company: Eliminating Denials For Smoother Operations In the complex realm of healthcare, few things disrupt the seamless flow of operations in Ambulatory Surgery Centers (ASCs) as significantly as claim denials. These unexpected roadblocks not only hamper financial...

Anesthesia Billing: Tips For Accurate Reimbursements Unlike billing for other medical disciplines, anesthesia billing has become increasingly complicated. Maximizing revenue for Anesthesia billing is only achievable if all members involved in handling the medical report, from...

Anesthesia Billing & Coding: Success Tips Billing for anesthetic services is not like regular medical billing. You must not only grasp how anesthetic is provided but also comprehend payer regulations, or your claim may be refused. In fact, anesthetic billing necessitates c...

Optimizing Your Revenue Cycle: Best Practices in Outsourcing RCM In the intricate orchestration of modern healthcare, where the harmony of financial stability plays a pivotal role, optimizing the revenue cycle has taken center stage. To conduct this intricate symphony of finan...