Healthcare Claims

Let’s take a look at a common claim denial, denial code PR 27. Let’s talk about what this code means, how to prevent it, and how to address it.Let’s take a look at a common claim denial, denial code PR 27. Let’s talk about what this code means, how to prevent it, and how to address it.

Healthcare providers receive remittance advice from either insurance companies or patients (payers) when payments are being made for medical services. But, how often and why? Let’s find out!

In this blog we dissect what a payer agreement is!

A common question among billing and coding staff is, “What is the difference between the coordination of benefits and the explanation of benefits?” Let’s go over what these processes even are as well as the stark differences between them. 

Coordination of benefits applies to a patient who has multiple insurance providers also known as payers. It’s more of a backend process, but it’s important to understand from a medical billing perspective.

One of the trickiest physical therapy CPT codes that billers deal with is dry needling codes. Let’s take a look at the importance of CPT codes in general, what dry needling is, what the codes entail, and more!