top of page
Defend Against Sepsis Denials: A Root Cause Analysis for DRG Downgrades
The Sepsis Denial Crisis in Hospital Revenue Cycles Sepsis-related DRG downgrades are among the most financially damaging and preventable...
Adi Tantravahi
12 minutes ago7 min read
1
0
How to Stop Losing Money on ESRD Claims: A Complete Guide to CPT® 90960, ICD-10 N18.6, and CARC 16 Denials
The Problem Every month, physicians deliver complex, ongoing care to ESRD patients. But even when that care is delivered correctly, it...
Juan Lozano
Jun 114 min read
15
0
Decoding CARC 129: Mastering the Critical Relationship Between CPT® 90460 and ICD-10 Z23
When "Prior Processing Information Appears Incorrect" Costs You Money Let's face it - pediatric immunization billing is tricky. At the...
Juan Lozano
May 73 min read
14
0
Navigating the Complex Intersection of CPT® 97110, ICD-10 M16.12, and CARC 273
1. Introduction When therapeutic exercise meets osteoarthritis in the medical billing landscape, precision becomes paramount. The...
Juan Lozano
Mar 254 min read
32
0
Exploring How Age Influences Medical Charges: Insights on S5170 + R69 and 71045 + J90
Patient age significantly impacts medical billing, with older adults often incurring higher charges due to complex care needs and insurance
Juan Lozano
Feb 43 min read
47
0
Mastering the Interplay of CPT® 3079F, ICD-10 I10, and CARC B7 in Medical Billing
Understanding blood pressure monitoring codes: Learn when and how to use CPT 3079F for diastolic readings of 80-89
Juan Lozano
Feb 14 min read
44
0
Mastering the Interplay of CPT® 00142, ICD-10 H25.11, and CARC B7 in Medical Billing
1. Introduction Understanding the intricate interplay between CPT® code 00142 (”Anesthesia For Procedures On Eye; Lens Surgery”), ICD-10...
Juan Lozano
Dec 23, 20243 min read
79
0
bottom of page