What is Upcoding?

Upcoding is when medical coders fraudulently charge medical bills. It is a criminal act that can cost patients and insurance companies thousands of dollars. How it works is the supplier bills a health care coverage payer (regardless of whether private, Medicaid or...

Solving Transparency in Healthcare

Dread from a doctor’s visit comes twofold: there’s the actual appointment, and then there’s the mystery when receiving the bill. In both cases, the patient has hardly any idea what to expect. We’ll focus on the latter, the uncertainty with medical bills. Reason...

How To Track Claims And Denials

Dealing with insurance is one of the most challenging aspects of operating a medical practice. Regulations are so complicated that they can seem arbitrary, and even the simple things can be turned into a laborious process. Tracking claims and denials are a critical...