Medicaid was established to provide health insurance for low-income people. The program is funded by both the federal and state governments based on a formula (Federal Medical Assistance Percentages) that varies by state. Based on federal guidelines, all state Medicaid programs are required to provide more than 15
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Getting your health claim denied can feel like a punch to the gut. You’re already dealing with health issues, and now you have to fight about payment too. One of the most common reasons for claim denials? Missing referrals. Let’s talk about how to avoid this headache before
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A survey conducted in the final quarter of 2025 found that around 68% of respondents agreed that submitting clean claims is now more challenging than a year ago. The statistics are almost similar for substance use disorder treatment providers. Chances are the statistics might be even worse, given
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Medicare is the federal health insurance program for people age 65 and older and some younger people with certain conditions. Many patients want to know if they can use Medicare to see naturopathic doctors. Naturopathic doctors (NDs) focus on natural care, herbs, diet, and lifestyle. They aim to
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Major depressive disorder affects millions of people across the United States, causing persistent sadness, loss of interest, and other debilitating symptoms that can last for years before effective treatment is found. “According to the World Health Organization, MDD was the third leading cause of the global burden of
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Recent research shows that denied claims are a major worry for healthcare leaders. Twenty-two percent of those surveyed say their organization loses at least $500,000 each year due to denials. Additionally, one in ten leaders reports losses exceeding $2 million annually Most providers lose money because they don’t
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Every hospital aims for precise billing. Even the best teams still face hidden slipups. A missed detail, a wrong code, or a delay in data entry can turn a simple claim into a costly issue. These common inpatient billing errors often sneak in quietly but can lead to
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Medical billing teams face significant challenges with Pacemaker, ICD, and CRT medical necessity denials. Payers like Medicare often reject claims because documents miss key details. Think about EF%, rhythm strips, or syncope history not clearly noted. Or maybe strict Medicare LCD/NCD requirements are not met. These issues hit
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Naturopathy faces frequent insurance denials from common CPT coding errors. These mistakes delay payments and harm RCM. Naturopathic providers must master accurate coding to thrive. This article explains the most common CPT coding errors causing insurance denials in naturopathy. It also shows how to avoid them. Understanding CPT
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You perform a bunion surgery that goes perfectly, and the patient is healing well. Six days later, the patient returns for a follow-up. During the visit, you find a new diabetic ulcer on the other foot. It needs quick evaluation and treatment. Spend 30 minutes on this separate
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