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Showing posts with the label healthcare reimbursement

Neurology Billing Optimization: Don’t Miss Out on Reimbursement

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 In the complex world of medical billing, neurology practices face some of the most intricate reimbursement challenges . From highly specialized procedures to evolving coding updates, missing even one step in the billing process can cost practices thousands in lost revenue. So, the question is— are you capturing all your reimbursement opportunities, or are they slipping through the cracks? The Unique Challenge of Neurology Billing Neurology involves detailed diagnostic procedures, cognitive assessments, and a range of services that span both outpatient and inpatient settings. However, the complexity of this specialty makes it particularly vulnerable to: Under-coding of evaluation and management (E/M) services Overlooking separately billable procedures Inaccurate use of modifiers Incorrect documentation for time-based coding Claim denials due to lack of medical necessity Missed Opportunities = Lost Revenue Many neurology practices unknowingly leave money on t...

Don’t Let Your Revenue Go Blind: Top Ophthalmology Billing Mistakes to Avoid

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  In the fast-paced world of healthcare revenue cycle management , ophthalmology billing poses unique challenges. From complex procedure coding to payer-specific documentation requirements, even experienced billers can make costly mistakes. Unfortunately, these errors often go unnoticed until claim denials stack up or reimbursement slows down. If you're running or managing an ophthalmology practice, it’s essential to know where revenue may be leaking. Here are seven of the biggest ophthalmology billing mistakes—and how to avoid them. 1. Incorrect Use of Modifiers Modifiers like -25 (Significant, separately identifiable E/M service) and -59 (Distinct procedural service) are frequently used in ophthalmology but just as frequently misused. Applying the wrong modifier—or omitting it entirely—can lead to claim denials or reduced payments . Regular coder training and internal audits can help prevent these issues. 2. Confusing Medical vs. Routine Eye Exams Many ophthalmology pra...