Why do health insurance companies deny claims – Compete Guide
Quick Intro: Health insurance claim denials are a routine and expensive part of modern healthcare. When a claim is denied, the insurer refuses to pay for part or all
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Quick Intro: Health insurance claim denials are a routine and expensive part of modern healthcare. When a claim is denied, the insurer refuses to pay for part or all
Read MoreEssential RCM Knowledge: This comprehensive guide explains the critical differences between reversals and recoupments—two billing adjustment processes that impact healthcare provider revenue cycles differently. Understanding both is essential for maintaining
Read MoreComprehensive Billing Code Guide: This article covers PRRJK code, PR denial codes (PR-1, PR-2, PR-3), J codes (HCPCS Level II), and EOB group codes (CO, PI, PR, OA). Includes practical
Read MoreLatest Update: CMS finalized the 2026 Medicare Physician Fee Schedule, implementing the controversial -2.5% efficiency adjustment, facility-based payment reductions, and Medicare Advantage plan exits. This article reflects the final rule
Read MoreCritical Appeals Terminology: This comprehensive guide explains what “appeal overturned” means in medical billing context, how it differs from other appeal outcomes, and what to do when your appeal is
Read MoreQuick Intro: Selecting an Electronic Health Record (EHR) or Electronic Medical Record (EMR) system is critical to small medical practices. The optimal software is regulatory compliant, and improves
Read MoreQuick Summary: Accurate medical coding is the foundation of a healthy otolaryngology practice. Yet, the complexity of ENT procedures often leads to billing errors that can jeopardize revenue and
Read MoreQuick Intro: For many people in healthcare, the word audit is scary. It makes them think of inspectors, large fines, and stressful problems. But what if
Read MoreQuick Summary: The CPT code 93303 is transthoracic echocardiography (TTE) with Spectral and Color Flow Doppler for congenital heart, defects/conditions. Although this TTE code like other echocardiography codes has a zero-day
Read MoreArticle Refresh Quarterly: This article is updated quarterly to reflect the latest CMS CPT code changes, reimbursement updates, and RCM best practices. Last reviewed for 2025 compliance standards. Quick Summary:
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