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Outsource Strategies International: Blogs

Clarifications on Reporting Non-urgent Services in the Emergency Department

Clarifications on Reporting Non-urgent Services in the Emergency Department

Emergency department (ED) visits identified by CPT code 99285 require three key components: comprehensive history, comprehensive examination, and medical decision making of moderate complexity. However, a large proportion of all emergency department (ED) visits are for non-urgent conditions. Generally, non-emergency conditions are reported using a lower level emergency department code. One question that many physicians […]

Medicare’s Dedicated Billing Code for Hospitalists – Context and Implications

Hospitalists are dedicated to providing care to hospitalized patients, but till recently, quality metrics for these specialists had been clubbed with office-based internal medicine or primary care physicians. With the shift from fee-for-service to quality-based payment models, this lack of distinction has proved a major disadvantage for hospitalists. Medicare took an important step this year […]

Challenges of Coding for Immunizations

Challenges of Coding for Immunizations

Billing for vaccine administration is challenging and explains why many providers choose medical billing and coding outsourcing. There are different codes for Medicare and private insurance companies. Moreover, to correctly report immunizations for children and adults, it is important to understand what the relevant medical codes will and will not do. Professional medical coding services […]

Study Reveals Greater Use of Chiropractic Services by Veterans

Study Reveals Greater Use of Chiropractic Services by Veterans

According to recent research, the number of veterans using chiropractic services is increasing. Chiropractic care is an effective strategy to address musculoskeletal conditions and its popularity has increased in recent times with the national efforts to reduce opioid dependence. It can be expected that the demand for chiropractic billing services will follow these current trends. […]

Outsource Medical Billing to Ensure Optimal Payment for TCM Services

Outsource Medical Billing to Ensure Optimal Payment for TCM Services

Both providers and patients must meet basic requirements to qualify for Medicare payment for Transitional Care Management (TCM).  However, the failure to adhere to proper documentation and billing practices often prevent even physicians who meet these requirements from getting reimbursed appropriately. Outsourcing medical billing and coding to an experienced service provider is the ideal option […]