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Showing posts from February, 2026

Drug Administration - Infusion Coding And Common Challenges

  Drug Administration - Infusion Coding And Common Challenges By Nilesh K. Shende, CPC 📢 Join our Channels for instant job alerts YouTube - MCoderTube         Whatsap Job Group        Telegram In this blog, we will discuss Drug Administration and Infusion Coding, along with the most Common Challenges faced by medical coders. Many coding errors occur due to confusion about documentation, hierarchy, time calculation, and bundling rules. Through thus article, I aim to clarify these areas step by step.  ___________________________________________________________________________________ Important Documentation Requirements Before charging for infusion or injections, the following must be ensured: Complete and proper documentation must support the service. If a service is not separately chargeable or not sufficiently documented, it should not be billed. Some injections or drugs are bundled with procedures (for example, sedation drugs used du...

Denial Management Project in Medical Coding/Billing/RCM (Basic → Advanced)

  Complete Guide to Denial Management Project in Medical Coding/Billing/RCM (Basic → Advanced) - Nilesh K. Shende, CPC 📢 Join our Channels for instant job alerts YouTube - MCoderTube         Whatsap Job Group        Telegram Hello friends, In below we are going to see all possible concepts of Multi-specialist Denials.  What is a Denial in Medical Billing? Denial occurs when an insurance payer refuses to pay a claim due to coding errors, missing information, eligibility issues, authorization problems, or medical necessity concerns. In simple way will se route of Denial,   Claim sent → Insurance reviews → Payment rejected = Denial Claims Denial are a major part of the Revenue Cycle Management (RCM) process. Guidelines followed in denial handling often come from payers and programs like the  Centers for Medicare & Medicaid Services  (cms). Types of Denials (MUST MEMORIZE) Hard Denial -  Claim permanently rejected...