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Coding Query Tips and Examples

    Diagnosis queries have become an increasingly vital process to ensure adequate documentation and accurate coding. However, it is often challenging to obtain timely responses from physicians regarding queries. For instance, the demanding schedules of physicians/providers make it difficult to find an appropriate time for discussions.… Read More »Coding Query Tips and Examples


    Top Claims Denial Reasons from MACs

      Knowing the top claims denial reasons from Medicare Administrative Contractors (MACs) is helpful for home health agencies aiming to maintain financial stability and ensure timely reimbursement. By identifying and addressing the root causes of denials, providers can improve their billing and coding practices, optimize cash… Read More »Top Claims Denial Reasons from MACs


      Coding Reminders and Red Flags

        Accurate and patient-specific coding is crucial to succeeding with the Patient-Driven Groupings Model (PDGM). Proper diagnosis coding ensures you receive the appropriate payment while addressing your patients’ healthcare needs. Submitting claims with coding errors can lead to the claim being returned to the agency for… Read More »Coding Reminders and Red Flags