Your Easy Guide to Healthcare Billing and Medicare Updates

Have you ever filed a clean claim and had it rejected weeks after with some kind of reason that did not make sense? Calculation of units is one of the most common, but confusing reasons behind claims denials. You may believe that it is easy to bill a single vial of a drug.

Pharmaceutical identification is entering a major revolution in its landscape. In March 2026, the Food and Drug Administration (FDA) published a final rule that will eventually bring the format of the National Drug Code (NDC) into harmony.

Nutritional counseling has ceased to be an extremity of wellness to become the core aspect of prevention medicine and chronic illnesses. With the recent transition to value based care in healthcare, the services that are coded under dietary and nutrition counseling have been extremely important as sources of revenue to practices.

In the complex system of medical billing, precision is what lies between a clean claim and an expensive denial. There are not many aspects of the surgical coding that depict this fact more than the bilateral procedures.

Denial codes in medical billing can have a considerable effect on revenue and efficiency of the workflow. The CO-16 Denial Code is one of the denials that billing staff has to face. This code is important to understand in order to reimburse on time and to have a smooth revenue cycle.

Type 2 diabetes is one of the most prevalent chronic diseases that is treated in the health sector today. To the medical coders and billers, proper diagnosis coding of this condition will have direct consequences to reimbursement, risk adjustment scores and adherence to payer policies.

Proper reimbursement requires proper documentation of therapy. Unfinished notes tend to lead to refusal or late payment. This is the reason why the proper utilization of 97110 CPT Code is essential.

Commercial and government payers are subjecting behavioral health claims to more scrutiny. Diagnoses of anxiety related diseases are often in place, and are often recorded due to medical necessity and accuracy of documentation.

Understanding Self Pay in Medical Billing is essential for both healthcare providers and patients. With increasing numbers of patients opting to pay out-of-pocket to receive medical services, self-pay accounts management becomes a critical issue in ensuring a smooth revenue cycle.