Latest Insights & Updates

Most new providers complete credentialing in 90 to 120 days. Some payers finish it in as little as 45 days.

Getting a CO-16 denial code on a claim stops payment immediately. The ERA shows the code, the billing team opens

Every year, healthcare providers lose thousands of dollars not because they delivered wrong care, but because a claim arrived one

Every day, healthcare providers lose thousands of dollars, not because their services were wrong, but because a Medicaid claim arrived

A patient comes in for a planned knee injection. The physician also finds elevated blood pressure and adjusts medication. The

A radiologist interprets a CT scan performed at a hospital using hospital owned equipment. The claim goes out as a

Modifier 59 in medical billing is the most overused and most audited modifier in the entire CPT codebook, which is

A surgeon performs arthroscopy on both knees in one session. The biller codes CPT 27331 with modifier 50, but enters

A claim goes out without modifier 25 on a same-day procedure visit. The payer bundles it. The E/M pays zero.

Most practices do not lose money all at once. It builds slowly, one denied claim, one underpaid EOB, one missed

An insurance claim gets denied when a payer refuses to reimburse a submitted claim, due to an administrative error, a

Payment posting in medical billing is the process of recording payments from insurance companies and patients directly into the billing

Knowing how to submit a medical claim properly can save hundreds of dollars, and weeks of frustration. Most patients assume

Every denied claim costs a practice an average of $118 to rework. In 2024, the national claim denial rate climbed

A single wrong digit in charge entry in medical billing can flip a clean claim into a denial. That is

Insurance eligibility verification is the first real checkpoint in the medical billing cycle, and skipping it is one of the

coThe Medicare timely filing limit (TFL) is one of the strictest deadlines in medical billing, and one of the most

Imagine this. A patient walks in, the doctor sees them, the service is delivered perfectly, and the medical coder does

Every medical practice has experienced it at least once. A claim goes out late. The denial comes back with code

Medical practices in the United States lose between 5 and 10 percent of annual revenue to claim denials. According to

Many healthcare providers find themselves in a frustrating situation, with a full schedule, consistent patient visits, and yet the monthly

If you’ve ever received a medical bill that made no sense, or watched claims come back denied week after week,

Introduction: Coding a GI cocktail (e.g. Maalox + lidocaine + anticholinergic) can be tricky. There’s no dedicated CPT/HCPCS code for this oral mixture,

Intro: Gastroesophageal reflux disease (GERD) is a long-term condition that causes stomach acid to flow back into the esophagus, producing

If you’re looking for the ICD-10 code for weakness, this GenMediTech guide is built to help you code accurately, document