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How to Address the Most Common Denial Codes in Medical Billing 
Case Study
Tom Avenir

How EMPClaims Reduced Rheumatology Claim Denials by 50%

Rheumatology Billing How EMPClaims Reduced Rheumatology Claim Denials by 50% Rheumatology practices don’t lose revenue because they’re billing incorrectly. They lose it because the revenue cycle wasn’t designed for the way rheumatology actually works — long treatment cycles, repeat authorizations, specialty biologics, and payers with long institutional memories. When a Central Florida multi-location rheumatology practice

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April 23, 2026 No Comments
Urgent Care Billing – Complexities and Solutions 
Industry Guide
Piyush Kedia

Urgent Care Billing in 2026: What Practice Administrators Need to Know

Urgent Care Billing Urgent Care Billing in 2026: What Practice Administrators Need to Know Urgent care billing has never been forgiving. In 2026, the margin for error is smaller than ever. Payer scrutiny on urgent care claims has increased. Workers’ Compensation AR continues to be a problem category at most multi-location practices. Provider turnover —

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April 23, 2026 No Comments
Coding
Piyush Kedia

Why Real-Time Eligibility Verification Changes Everything for Multi-Location Practices

Why Real-Time Eligibility Verification Why Real-Time Eligibility Verification Changes Everything for Multi-Location Practices Eligibility verification sounds like a front-desk problem. A checkbox. Something a staff member handles before the patient gets called back. For a single-location practice seeing 40 patients a day, maybe it is. For a multi-location urgent care network or a specialty group

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April 3, 2026 No Comments
Parkinson's Disease Diagnosis
Coding
Piyush Kedia

Demystifying the Medical Coding of Parkinson’s Disease Diagnosis

A Comprehensive Guide to CPT and ICD-10 Codes  April is Parkinson’s Disease Diagnosis Awareness Month, and during it we aim to raise awareness about this progressive neurological disorder. Parkinson’s disease affects more than 8 million people worldwide, and it is estimated that around . 90,000 Americans are diagnosed with the condition each year.    We want

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April 25, 2023 No Comments
What You Need to Know About CPT Codes for Mental Health Telehealth
Coding
Piyush Kedia

What You Need to Know About CPT Codes for Mental Health Telehealth 

The COVID-19 pandemic brought about a significant increase in the need of CPT codes for mental health services in the United States. To ensure that providers can offer care through telehealth, the Centers for Medicare & Medicaid Services (CMS) and private insurance companies have expanded coverage for telehealth services. To aid with reimbursement for telehealth

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April 17, 2023 No Comments
How to Address the Most Common Denial Codes in Medical Billing 
Coding
Piyush Kedia

How to Address the Most Common Denial Codes in Medical Billing 

One of the primary challenges that medical billing professionals face is dealing with denial codes. Denial codes in medical billing are essentially explanations given by insurance companies as to why a claim was denied. These codes can be very frustrating, as they often require additional work to resolve the issue.  As reported by American Academy

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March 27, 2023 No Comments
Understanding Cancer Diagnosis Codes
Coding
Piyush Kedia

National Colorectal Cancer Awareness Month: Understanding Cancer Diagnosis Codes

Colorectal cancer, is the third most common cancer in the world. And in the United States, it is the second leading cause of cancer-related deaths among men and women combined. However, colorectal cancer is treatable if detected early. Therefore, every March, National Colorectal Cancer Awareness Month is observed to raise awareness about the disease and

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March 22, 2023 No Comments
What Telehealth will look like after the end of the Public Health Emergency 
Telemedicine
Piyush Kedia

What Telehealth Will Look Like When the Public Health Emergency Ends

Introduction:  The COVID-19 pandemic forced many industries to adapt and change, and healthcare is no exception. One of the most significant changes in healthcare during the pandemic has been the rapid expansion of telehealth services. Telehealth has been a valuable tool during the COVID-19 pandemic, allowing patients to receive medical care remotely while minimizing the

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March 15, 2023 No Comments
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