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Authorization in Medical Billing

What Is Authorization in Medical Billing and Why Is It Important?

Imagine this: A patient arrives for a crucial medical procedure, only to be told that the service cannot be performed because it was not authorized by their insurance. This situation is all too common and underscores the critical role of authorization in medical billing. In today’s complex healthcare environment, ensuring proper authorization is not just […]

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Types of Medical Billing

The 3 Types of Medical Billing Every Healthcare Provider Should Know

Unlocking Revenue Potential with the Right Medical Billing Knowledge Medical billing is the backbone of any healthcare practice’s financial health. Yet, many providers are unaware that medical billing is not a one-size-fits-all process. Understanding how many types of medical billing exist and how each operates can dramatically improve practice efficiency and revenue collection. Whether you

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Reversal vs. Recoupment Key Billing Difference

Reversal vs. Recoupment: Key Billing Difference

Understanding the Critical Distinction in Medical Billing   Medical billing is an essential part of running a successful healthcare practice. However, billing errors and adjustments are inevitable. Two terms often causing confusion are reversal and recoupment. Both relate to the correction of payment errors, but they have very different meanings and consequences for healthcare providers.

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Practice Administrators + IHBS = Scalable Growth

Practice Administrators + IHBS = Scalable Growth

The Secret Behind Scalable Practice Growth Behind every thriving healthcare practice is a highly capable practice admin orchestrating operations, managing teams, and ensuring financial health. These individuals are the unsung heroes of medical growth, but they cannot do it alone. The pressures of running a practice are growing rapidly: evolving compliance, revenue cycle complexities, and

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Cardiology Practices Need Specialized Revenue Cycle Management

Why Cardiology Practices Need Specialized Revenue Cycle Management

Cardiology is a high-impact specialty with a significant volume of complex diagnostic and interventional procedures. Every test, catheterization, or cardiac evaluation carries unique billing challenges that require precision. Traditional, generalized revenue cycle management (RCM) systems often fall short of supporting the specific needs of cardiology practices. These shortcomings can lead to increased denials, delays, compliance

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Revenue Cycle Management with Accurate ICN Tracking

Improving Your Revenue Cycle Management with Accurate ICN Tracking

Inaccurate claim handling can result in revenue loss, delayed payments, and rework. What if one small change could fix that? That’s where ICN tracking steps in. The ICN medical abbreviation stands for Internal Control Number—a unique identifier that offers critical insight into the lifecycle of every insurance claim. For many practices, especially those in Florida

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Coding in Medical Billing

What is Coding in Medical Billing?

Imagine treating a patient, writing notes, and expecting payment to arrive as if by clockwork. Behind the scenes, however, is a powerful system that makes reimbursement possible: medical coding. So, what is coding in medical billing? It is the language that connects patient care with revenue generation. Medical coding is often misunderstood or overlooked, yet

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Understanding CPT Code 29806

Understanding CPT Code 29806

CPT codes are the foundation of medical billing. When it comes to orthopedic and shoulder surgery, CPT code 29806 plays a critical role. This specific code refers to a particular type of shoulder surgery known as arthroscopic shoulder stabilization. If incorrectly applied, CPT 29806 can lead to denied claims, revenue loss, or even compliance issues.

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