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Harold Gibson

Harold Gibson

Harold R Gibson is the Chief Financial Officer at M-Scribe - a medical billing service company. Harold is an accomplished healthcare professional with extensive experience in the medical billing and coding industry. You can follow him on Twitter @mscribetech. He is interested in getting your feedback/suggestions. Please email him at h.gibson@m-scribe.com.

Author's Posts

Top Medical Denial Reason Codes Explained

Harold Gibson

When medical claims are denied, it costs practices money, resources and time. Not only has the practice wasted the time and effort it originally devoted to coding the claim, but it must now use additional resources to track down the reason for the denial and fix it. Only then can the claim once again be processed for payment. This also means the medical practice is without payment for a longer period of time. 

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E/M Coding Changes Medical Practices Need to Know for 2021

Harold Gibson

Most practices have been working hard to keep up with the Covid-19 and telehealth billing and coding changes – as well as the varying rules between payers lately – over the past six months. But looking ahead to 2021, there are some significant E/M Coding changes coming for the new year.

Previously, in response to complaints by providers and with the executive order from President Trump directing agencies to start cutting red tape, the Patients Over Paperwork initiative was introduced in 2017. That led to CMS proposing revisions to E/M Coding rules that went into effect in 2019, and more extensive changes are going into effect on January 1, 2021.  

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Topics: E&M Code, E&M Code 2021, E/M Coding

What Does Universal Healthcare Mean for Medical Practices

Harold Gibson

With Covid-19 changing the way healthcare operates, not only in the U.S. but also around the world, there’s a lot more talk about universal healthcare, also known as Medicare for All, but what could it mean for patients and providers? While the debate around Universal healthcare has been front and center for years, the growing healthcare needs of a country affected by a global pandemic has brought the topic to the forefront once again.

What is universal healthcare? How will it work? What would it mean for a medical practice? Here’s a closer look at a few things you may need to know.

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Topics: Medicare for All, universal healthcare

Decoding Common Denial Codes: Duplicate Claim or Service

Harold Gibson

Every medical practice deal with claims denials, which is a notice that the claim has not been paid for specific reason. While there are many different denial codes you may see from time to time, one of the most common denial codes is the denial for a duplicate claim or service. Unfortunately, duplicate claims are both counter-productive and costly for your practice, not to mention, they can end up getting you into trouble. Too many errors can result in the imposition of program integrity actions by the Medicare administrative contractor against your practice. This means it’s essential to learn more about this common denial code, how to avoid it, and what you can do when it does happen.  

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Topics: medical claim denials, claim denials, duplicate claim denial

Decoding Common Denials: Denial Code CO-97

Harold Gibson

Claim denials are one of the most significant barriers to efficient revenue cycle management. Denials not only require additional resources and time for reprocessing, but they also slow down your practice’s cash flow by delaying payment. Statistics show that around $262 billion in medical claims get denied initially, but even worse, more than 60% of those claims do not get reworked, which means that’s a lot of money down the drain.

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Topics: claim denials, Denial Code CO-97

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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