A clean claim, in medical billing, is a claim that is free of errors and processed timely. It is a claim that has all of the information, fulfills the standards set by payers, and gets paid promptly. When providers do not file clean claim, they risk payment delays. Every denial [...]
When payments to care providers in specific health sectors are to be changed, it is not uncommon to see them being corrected several months later, after delivery of services. A very typical recalibration is regarded as recoupment. In simple terms, a recoupment meaning in medical billing can be described as [...]
When you have to handle house bills, insurance forms, or clinic statements, you may come across the word guarantor medical. There is a large number of patients who have been confused about the meaning of it and whether they have to list themselves or another person. It is necessary to [...]
Medical billing requires various important documents, and the UB 04 form is one of those, which is extremely important during the trouble-free course of hospital billing and insurance claims. The UB-04 care form (also called the CMS-1450 care form) is something that you are bound to come across, whether you [...]
In the medical billing world, accuracy is everything. Lab tests, complex imaging, and other procedures all have their own unique CPT (Current Procedural Terminology) codes that must be properly documented and reimbursed. The Complete Blood Count (CBC) is one of the most commonly ordered lab tests used to diagnose and [...]
Your doctor may instruct an MRI without contrast when he suspects knee, hip, or other joint symptoms in the lower extremity. The test is frequently billed using CPT code 73721 in medical billing. Whether you read this code on your hospital bill or insurance claim, one would like to know [...]
In the healthcare system, providing great care to patients is not the only component to the equation. Providers also have to take care of the financial aspect of their services in order to keep practices running smoothly. Therefore, Revenue Cycle Management (RCM) plays an important role in medical billing. An [...]
In today’s complex healthcare system, getting properly credentialed is a requirement. For medical professionals, working with a trusted physician credentialing company is essential. Prospect Healthcare Solutions, with a deep understanding of the healthcare industry, help physicians, clinics, and practices handle the credentialing process from start to finish. The need for [...]
Healthcare providers face constant challenges with rejected or denied claims. Such denials can cause payment delays and disrupt the steady flow of revenue. Denial management services help address and resolve these issues efficiently. By systematically addressing claim denials, providers can optimize their revenue cycle and ensure faster payments. These services [...]
Understanding CPT codes is key in medical billing. One important code is the 43239 CPT code description. The cpt 43239 represents: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple. Endoscopy has advanced over the years. New scopes provide clearer imaging, better access, and fewer side effects for patients. Doctors now [...]