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Outsource Strategies International: Blogs

Good Documentation Practices Critical for Accurate Pneumonia Coding and Reimbursement

Good Documentation Practices Critical for Accurate Pneumonia Coding and Reimbursement

An inflammatory condition that affects the lung tissue, pneumonia can be caused by bacterial infections, inhalation of irritating chemicals, inhalation of stomach contents, or infections by uncommon organisms. Pneumonia can be community-acquired (CAP), health care-associated (HCAP), hospital-acquired (HAP), or ventilator-associated (VAP). The key to proper medical coding for pneumonia is having clinical documentation in the […]

AHA Upbeat about Growth in Patient Access to Electronic Health Records

AHA Upbeat about Growth in Patient Access to Electronic Health Records

A successful patient-physician relationship depends on physicians’ ability to communicate information effectively and compassionately. The Internet facilitates physician-patient interaction, email communication, online prescription ordering, and patient appointment scheduling. Patient access to medical records is crucial to enhance the quality of care. A survey by the American Hospital Association (AHA) has revealed that hospitals are facilitating […]

Medical Billing for Behavioral Health Services – Challenges and Solutions

Medical Billing for Behavioral Health Services – Challenges and Solutions

Recent changes to both diagnostic and procedure codes as well as variability in requirements across private and public insurers pose many challenges for behavioral health medical billing: ICD-10-CM includes combination codes for some conditions and associated symptoms, with details relating to laterality and anatomical site, combination codes for conditions and common symptoms or manifestations, different […]

Physician Practice Setting can Improve Reimbursement for Respiratory Therapists

Physician Practice Setting can Improve Reimbursement for Respiratory Therapists

Pulmonary rehabilitation is a multidisciplinary program meant for patients with chronic respiratory conditions, especially for those with chronic obstructive pulmonary disease (COPD). Physicians generally refer patients with moderate to severe COPD to a rehab program when they are stable, that is, when the MRC breathlessness scale is between 2 and 4. Pulmonary rehabilitation helps patients […]

Insights on Automated Medical Appointment Scheduling

Insights on Automated Medical Appointment Scheduling

Online medical appointment scheduling plays a key role in physician practice management. Scheduling appointments correctly and efficiently promotes workflow efficiency, increases revenues and improves patient satisfaction. However, there are many challenges which can affect the efficiency of the scheduling process such as no-shows, unexpected cancellations and rescheduling requirements, and last-minute emergencies. Here are some insights […]

Coding Post-operative Complications with ICD-10

Coding Post-operative Complications with ICD-10

Postoperative complications can be general or specific to the particular surgery. They are an important cause of morbidity, mortality, extended hospital stay and increased costs. Some examples of postoperative complications are wound infections, coronary artery bypass graft thrombosis, infected joint prosthesis and pulmonary emboli within one week of surgery. Medicare payment for the surgical procedure […]