Why Your Claims Get CO 16 Denials and How to Resolve Them
Claim denials are among the most significant challenges facing healthcare practices today, directly impacting revenue cycle performance and financial stability. The CO 16 denial code represents one of the most frequently encountered rejection reasons in medical billing. It accounts for substantial revenue delays across the healthcare industry. Understanding the CO 16 denial code is essential […]
What Is HCC Coding and Why Is It Important?
If you work in healthcare, medical billing, or clinical documentation, you have likely heard the term HCC coding used in discussions around risk adjustment, Medicare payments, and compliance. Many people understand that it affects reimbursement, but far fewer understand how it actually works, why it matters so much, and what happens when it is done […]
Professional vs Facility Billing: What’s the Difference?
Learning professional vs facility billing is essential for medical providers, billing teams, and healthcare administrators who want accurate reimbursements and fewer denials. These two claim types represent distinct billing responsibilities within the healthcare system and are handled by separate workflows, forms, and departments. In fact, claim type errors are among the most common causes of […]
12 Benefits of Outsourcing Revenue Cycle Management (RCM) for Providers
Managing the financial side of healthcare can feel like a full-time job on top of caring for patients. That’s where outsourcing revenue cycle management(RCM) comes in. Studies show that practices that outsource revenue cycle management can reduce administrative costs by 15 to 40% and receive payment faster, thereby eliminating the frustrating wait for reimbursements. One […]
Liberty Liens: Your Complete Revenue Cycle Partner for High-Performance Medical Practices
With 230,187 physician practices in the USA alone, running a medical practice today is more complex than ever. Providers face heavier administrative loads, stricter compliance expectations, frequent coding changes, aggressive payer denials, and rising patient volumes while still being expected to deliver excellent care. In this environment, practices need more than just a billing company. […]
ICD vs CPT Codes: Key Differences Explained for Medical & Billing Professionals
According to the Center for Medicare and Medicaid Service (CMS) report 2024, nearly 30% of medical claims were denied due to incorrect coding. This shows that medical codes play the role of backbone in medical billing. Medical codes are alphanumeric identifiers used to translate a patient’s diagnoses, procedures and medical services into a standardized format […]
Cloud Computing in Healthcare: Transforming Patient Care with Benefits and Challenges
Cloud computing is one of the biggest reasons why Healthcare in the United States is changing fast, every day. According to Grand View Research, the global healthcare cloud computing market was valued at $19.6 billion in 2023 and is expected to grow to $45.1 billion by 2030, proving that cloud technology is becoming an essential […]
Best Revenue Cycle Management Software: A Complete Guide for Healthcare Providers
In today’s rapidly evolving healthcare landscape, efficient financial management is more than just a back-office function; it’s the backbone of a sustainable medical practice. From Medical Billing and Coding to Denial Management, every step in the healthcare revenue process directly impacts profitability, patient satisfaction, and compliance. That’s where the best revenue cycle management software comes […]
Understanding Medical Billing Time Limits: A Complete State-by-State Guide
Medical billing is the backbone of every healthcare organization’s revenue cycle. It ensures that providers are properly compensated for the care they deliver. However, the different medical billing time limits by state can make timely submissions a real challenge. Failing to meet these deadlines can lead to claim rejections, financial losses, and unnecessary administrative delays. […]
What Not to Say to Your Pain Management Doctor
Knowing what not to say to your pain management doctor can make a big difference in your treatment success. The right words help build trust, avoid misunderstandings, and ensure you get the care you truly need. A Guide to Effective Communication and Better Care In the complex world of pain management, communication between patients and […]
