On October 1, 2025, payors and at least one major has announced they will start downcoding will implement policies that automatically reduce high-level Evaluation & Management (E/M) services when the submitted diagnosis does not justify the complexity of the visit. For many providers, this might sound like “just another payer [...]
As a physician, you know how important it is to understand chronic heart failure (CHF) and how to code it correctly. Let’s break this down into easy-to-understand parts so you can provide the best care for your patients. What is Chronic Heart Failure? Chronic heart failure means the heart isn’t [...]
Imagine a world where hospitals and clinics are brimming with patients, doctors are tirelessly providing care, and nurses are tending to every need. Amidst all this activity, there’s one vital element often overlooked – the financial and administrative side of healthcare. Managing the paperwork, ensuring correct patient billing, and avoiding [...]
Running a small medical practice is no small feat. Between seeing patients, managing staff, and keeping up with the latest medical advancements, the last thing most healthcare providers want to worry about is medical billing. Yet, without an effective billing process, even the best medical care can’t sustain a thriving [...]