Utilizing Natural Language Processing (NLP) based technology and big data analytics, the University of Pittsburgh Medical Center (UPMC) health plan has successfully processed millions of clinical documents to accurately identify risk adjustment or HCC coding...
Uninsured Patients – Need for Ethical and Error-free Payment Collection Strategies
Hospitals and physicians’ practices need accurate and ethical medical billing services to capture collections from those with and without insurance coverage. Medical billing errors and overcharging can lead to dire legal consequences for healthcare providers....
Can ICD-10 Medical Codes Help Chiropractors Document Winter Vehicle Accidents?
ICD-10 medical coding includes documenting a range of external causes for injury, and you may need to use these specific codes especially during the winter season. Driving during winter months is dangerous. The leading cause of death during winter storms is...
Spine Surgeon Alert: Increase Revenue by Reporting Consultations of Non-Medicare Patients
Increasing revenues for non-Medicare patients for Spinal practices or for medical billing outsourcing companies dealing with medical billing for spinal surgeons is always important. While spinal practices are well aware that Medicare eliminated consultation codes...
California’s New Medical Billing Law Draws Attention to Insurance Eligibility Verification
California’s new insurance reform law, AB 72, draws attention to the significance of insurance eligibility verification, which ensures transparency about patients' financial responsibilities before medical services are provided. Many patients who receive...
Study: New Blood Test detects Early Stages of Osteoarthritis
Every year, orthopedics medical billing and coding companies receive a large volume of requests from orthopedic practices to accurately code, bill, and collect payment for services provided to diagnose and treat osteoarthritis (OA). The most common form of arthritis,...
Documenting and Coding Behavior Change Interventions – Smoking Cessation
Behavior change interventions are crucial to address lifestyle modification for disease prevention, long-term disease management and addiction. Every year usually brings important changes in family practice medical billing and coding as well as payment for these...
Learn About the 2017 CDT Codes Eligible for Medical Cross Coding
The need for dental-medical cross coding is growing in dental practices as many dental procedures can be billed to medical insurance. Cross-coding dental to medical codes involves coding and submitting medically necessary dental procedures to insurance. Today, many...
Be Proactive about Patient Collections with Insurance Eligibility Verification
The increasing adoption of high-deductible health plans (HDHPs) with rising out-of-pocket costs has changed the medical landscape as patients’ ability to meet their responsibility is falling. In the current scenario, physicians need to revamp their collections process...
Shoulder Surgery Coding and Billing – Points to Note
In addition to staying updated on coding changes and billing rules, certified coders in orthopedic medical billing and coding companies have a strong background in anatomy, physiology, related medical terminology, disease processes, and procedures for various body...