This is an update on the July 3, 2017 blog "Ensuring Accurate Claim Submission for Transitional Care Management Services". Transitional care management (TCM) describes the oversight and coordination of healthcare services for patients transitioning from an inpatient...
Whistleblower Offers Reward for Information on Medicare Billing Fraud
Medicare covers about 56 million people, both those 65 and older as well as disabled people. However, this major public program is plagued with fraud with offenders claiming tens of billions in Medicare health care reimbursement to which they are not entitled. Medical...
Code USPSTF-recommended Preventive Services/Screenings Correctly
The Centers for Disease Control and Prevention (CDC) recognizes that "Focusing on preventing disease and illness before they occur will create healthier homes, workplaces, schools and communities so that people can live long and productive lives and reduce their...
Hospitals Now Focus on Customer Service and Revenue Cycle Training – MGMA Poll
Hospitals - are they connected only to consultation and treatments offered? Definitely no. So, what else? Quality patient care and better revenue cycle management are key considerations as well. Though professional medical billing companies can provide advanced...
Reporting End-of-life Discussion Codes Correctly
This update replaces our March 6, 2017 blog "Medical Coding and Billing for Advance Care Planning". As a medical billing and coding company that keeps track of the evolving reimbursement scenario, we had reported on the addition of advance care planning (ACP) in 2016...
New Rules require Ohio Physicians to Report ICD-10 Codes on Controlled Substance Prescriptions
ICD-10 coding is complex and many physician practices make use of medical coding services to report the right diagnostic codes for various medical conditions. Ohio physicians will now have to report ICD-10 codes on prescriptions for controlled substances. On July 28,...
Get Ready for ICD-10 Coding Changes Starting October 1, 2017
New ICD-10 codes will take effect starting October 1, 2017. Healthcare entities and medical coding companies are preparing for implementation of the finalized 2018 ICD-10-CM classification set, which involves 363 new codes, 226 revised codes and 142 deleted codes....
Save Time and Money by Outsourcing Dental Eligibility Verification
According to a report in Dentistry IQ, dental insurance checks make up approximately 50% of the income of most dental practices. It is therefore essential that dentists have dedicated and efficient insurance management strategies in place. One of the most important...
Coding and Documenting Malnutrition in Elderly Patients
As people age, the body's ability to absorb food diminishes. Morbidity and medication use can also affect nutrition status, leading to poor health in older adults. Physicians who care for the elderly need to identify, diagnose and treat malnutrition while addressing...
How Can ASCs Improve Spine and Pain Management Billing and Coding
Ambulatory Surgery Centers (ASCs) or outpatient surgery centers that provide same-day surgical care, including diagnostic and preventive procedures face diverse problems, mainly related to physician reimbursement. Accurate pain management billing and coding for spine...