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Denied Claims in Behavioral Health: Why They Happen and How to Prevent Them

The main reason for denials in behavioral health is a lack of understanding of how insurance reimbursement works. If you are working in a behavioural health setting, then you must deal with the claims denials that are always frustrating for everyone. Providers always want to avoid this headache but it has become one of the

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What is PACS in Medical Radiology? A Complete Guide to Picture Archiving and Communication Systems

Whenever you go to the hospital for an X-ray, MRI, CT scan, or ultrasound, you never think about what happens to those images after the technician finishes. You get your results and the doctor explains them.  But what’s happened behind the scenes? There are some systems that store, organize, and share those images so your

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Mastering the CMS-1500 Form: A Complete Guide with Samples and Tips

The CMS-1500 form is a crucial aspect of insurance claims and healthcare billing. This red-ink-on-white-paper form has become one of the most important tools in outpatient billing. Everyone involved in insurance claims, whether they are a solo practitioner, a billing manager, or someone tasked with filling it out at a small clinic, needs to understand

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12 Best Medical Billing Companies in the USA for 2025–2026

Healthcare providers need medical billing companies due to the complexities and challenges involved in medical billing operations. Billing tasks need time and attention, which is difficult for healthcare providers to maintain. That’s why they need a billing partner who understands their practice’s needs and gives them personalized services for their revenue growth. But choosing the

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What Is an Entity Code in Medical Billing Claims? A Complete Guide for Healthcare Providers

Entity code is a small piece of code that is used to explain the service billed in a claim. It helps to ensure that the accurate entity is being billed. Claims denials are common in medical billing. And the major reason behind this denial is using an invalid entry code or missing any entity code.

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SOAP Notes in Medical Records: A Complete Guide to Subjective, Objective, Assessment & Plan

In the healthcare field, fulfilling the requirements of documentation is a necessary task as it’s the only way to turn a patient’s condition into clear and comprehensive medical records. There are codes, acronyms, and checklists for just about everything. But one tool that can help both clinicians and patients is the SOAP note. It’s helpful

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Anesthesia Billing Modifiers

Anesthesia Billing Modifiers Made Simple: A No-Stress Guide to QK, QX, QZ, QS & QY

Anesthesia is a different specialty compared to other ones. It’s a process of medication that prevents patients from pain during different treatment procedures like surgeries, diagnostic tests, and screening. Anesthesia billing contains multiple codes and modifiers that make it more complex. For additional information about the procedure, anaesthesia modifiers help to ensure accurate and timely

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ICD-10 Code for Type 2 Diabetes (E11): A Complete Guide for Patients and Providers

Diabetes is a disease that now affects millions of people in the world and is getting more common in people of all ages. More than 38.2 million people are suffering from diabetes in the US alone. It affects a person’s life from what they eat to how often they visit the doctor. About 14.2% of

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The Ripple Effect: How Incorrect Billing Impacts Healthcare Providers and Patients

Medical billing is the name of accuracy and precision. But some ripple effects of incorrect billing result in delayed payments and loss of revenue, and become a headache for both healthcare providers and patients. We all know medical billing errors but we may not know the outcomes of these errors, as small mistakes cost you

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