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Outsource Strategies International: Blogs

U.S. ICD-10 Market Trends 2016-2026

U.S. ICD-10 Market Trends 2016-2026

ICD-10 was launched in October 2015 by the World Health Organization (WHO). ICD-10-CM is the United States’ clinical modification of the WHO’s ICD-10. ICD-10 features a much larger number of concepts and codes than its predecessors, and most healthcare providers rely on experienced medical coding companies to submit code claims accurately and maximize reimbursement. A […]

Strategies to Ensure Coding Compliance in 2017

Strategies to Ensure Coding Compliance in 2017

Recent reports indicate that in 2017, a healthcare organization’s financial health and credibility will be inextricably linked to coding compliance. Non-compliance can lead to severe penalties. Therefore, providers and medical coding companies must have the right systems and processes in place to ensure that their coding resources are kept up-to-date. In addition to the existing […]

Proper Knowledge of Insurance Crucial to avoid Costly Mistakes in Dental Practices

Proper Knowledge of Insurance Crucial to avoid Costly Mistakes in Dental Practices

Changing insurance regulations and lack of proper knowledge about dental insurance can lead dental practices to lose money. While dental insurance verification is crucial to prevent claim denials, in-depth knowledge of all insurance related procedures is necessary to avoid costly mistakes. According to an article in Dentistry IQ, dentists should watch out for these potential […]

Primary Care – Strategies to Improve Reimbursement in the Value-based Care System

Primary Care – Strategies to Improve Reimbursement in the Value-based Care System

Many changes have affected primary care physicians (PCPs) in recent times. These include the shift to value-based care from the fee-for-service payment model, new regulatory requirements, the rise of new models of care, and the merging of independent practices with healthcare systems. While cost-effective medical billing services are available to help with error-free claim submission […]

New Study: Medicare’s Bundled Payment Model can deliver Quality Care and Hospital Savings

New Study: Medicare’s Bundled Payment Model can deliver Quality Care and Hospital Savings

Medicare’s new bundled payment policy saves millions of dollars annually for joint replacements – without impacting patient care, according to a new study. Traditionally, hospitals are paid separately for the many components of care and rehabilitation. Under the bundled payment model, providers and/or healthcare facilities are paid for coordinating the total amount of services needed […]

New Epidural Injection Codes to Improve Pain Management Reimbursement in 2017

Starting January 1, 2017, there are eight new epidural injection CPT codes which replace codes 62310-62311 and 62318-62319. When it comes to pain management billing, knowledge of the new codes and CPT instructions is crucial for compliance and appropriate and timely reimbursement. Epidural injections help patients get relief from acute low back or leg pain […]

Maximize Reimbursement for Care Coordination Services

Maximize Reimbursement for Care Coordination Services

Though physicians spend a lot of time counseling patients, they usually tend to overlook the reimbursement opportunity for this service. According to CPT guidelines, medical billing and coding for evaluation and management (E&M) services revolves around 7 components, 6 of which deal with the levels of services. These components are: history, examination, medical decision-making, counseling, […]