You just pulled up your electronic remittance advice (ERA), and there it is again: CO-16, CO-45, PR-2. These cryptic denial codes determine whether your healthcare organization gets paid or spends the next week fighting with insurance companies. With denial rates climbing from 30% in 2022 to 41% in 2025, understanding what these codes mean isn’t…
Medicine
Below you'll find a list of all posts that have been tagged "Medicine"
2026 Insurance Appeal Letter Checklist: Avoid Mistakes and Get Approved
Claim denial rates jumped from 9% in 2016 to 15% in 2023 according to Experian Health’s 2025 State of Claims report. If you’re reading this, you already know the frustration: hours spent drafting appeal letters, searching for the right clinical language, tracking down documentation, all while the filing deadline looms. Here’s what that costs your…
The Definitive Guide to Coordination of Benefits for Medical Billing Professionals
Coordination of Benefits (COB) is the process insurance companies use to determine which health plan pays first (primary payer) and which pays second (secondary payer) when patients have multiple coverages. This prevents duplicate payments and ensures providers receive correct reimbursement. With 43 million Americans covered by multiple health insurance plans, proper COB handling is essential…
The Ultimate Guide to Designing Effective Medical Billing Training Programs
Here’s the uncomfortable truth about healthcare billing departments right now: they’re barely keeping their heads above water. Experian Health’s 2025 State of Claims report found that 43% of revenue cycle management teams are understaffed. And it gets worse—research from Umbrex shows 33% of healthcare finance leaders say workforce shortages are their biggest operational headache. You…
The Complete 2026 Revenue Cycle Management Training Guide for New Hires
Claim denial rates hit 11.81% in 2024, according to Experian Health’s State of Claims report. That’s not just a statistic. It’s real revenue walking out the door every single day. Behind every denied claim sits undertrained staff who don’t know what they don’t know. The financial impact is staggering. Healthcare organizations lose an estimated $260…
The Complete Guide to Rapidly Training Medical Billing Teams in 2026
Medical billing teams are under more pressure than ever. Insurance companies are denying more claims, documentation requirements keep getting more complicated, and the cost of mistakes keeps climbing. Each documentation error from an undertrained staff member triggers a claim denial that costs $25-50 to fix. Multiply that across thousands of claims monthly, and poor staff…
ChatGPT Prompts for Email: 12 Templates That Save Hours Every Week
Reading Time: 8 minutes Writing emails eats up 28% of the average workday, according to a McKinsey analysis. That’s more than 11 hours every week. Most of that time goes to crafting messages, following up with clients, and responding to the same types of requests over and over. ChatGPT can help—but only if you know…
How Telehealth Teams Can Eliminate Redundant Charting and Save Hours
Telehealth has transformed healthcare delivery, but it hasn’t eliminated one of the profession’s most persistent challenges: documentation burden. Providers spend an average of two hours on charting for every hour of patient care, with much of that time dedicated to repetitive, standardized content that could be streamlined. For telehealth teams managing high patient volumes across…
The Definitive Guide to Choosing Patient‑Provider Telehealth Solutions
Selecting the right telehealth solution is critical for healthcare organizations seeking to enhance patient-provider communication while maintaining clinical quality and regulatory compliance. With the global telehealth market projected to grow from $186.41 billion in 2025 to $791.04 billion by 2032, providers face an expanding array of platforms and features to evaluate. This guide provides a…
How Virtual Patient Engagement Is Reshaping Healthcare Operations
The examination room isn’t disappearing, but it’s no longer where most of healthcare happens. Your patients are managing their care from kitchen tables and living room couches, checking lab results at midnight, messaging their care teams between meetings, and monitoring chronic conditions with devices that didn’t exist a decade ago. This isn’t a temporary shift….