Understanding the use of anesthesia and HCPCS modifiers is critical to communicate specific information to payers about the procedure or service provided. Expert coders in medical coding companies know when, how and why two-digit modifiers should be used. Anesthesia...
Eating Disorders – Document Them Accurately with ICD-10 Codes
Eating disorders refer to illnesses that are characterized by irregular eating habits and severe distress or concern about body weight or shape. Eating disorders include Anorexia Nervosa, Bulimia nervosa, Binge Eating Disorders (BED), Avoidant Restrictive Food Intake...
Latest Report – ICD-10 Market to See Vigorous Growth by 2025
The International Classification of Diseases (ICD-10) code set undoubtedly made a tremendous impact on how documentation was handled by both physician's office and the medical billing and coding companies. ICD-10 code set that contains 68,000 diagnosis codes and...
What are Medical Coding Modifiers? Examples of CPT Modifiers and When to Use Them
Medical, surgical, and diagnostic procedures and services are described by Category I CPT codes using five-digit numerical sequences. Category II CPT codes provide additional information to Category I CPT codes, which streamlines administrative work and tracks the...
Study of TKR Patients’ Claims Data links General Anesthesia to Postoperative Delirium
Though it has certain limitations, claims data is widely used by researchers to study diverse issues. While outsourcing medical billing and coding to an expert is a proven strategy that helps physicians receive appropriate reimbursement for services rendered, it can...
Key Documentation Tips for ER Physicians to Prevent Medical Necessity Denials
Documentation plays a key role in communicating to third-party payers that the evaluation and treatment services provided were medically necessary. While emergency room (ER) physicians should know that there are specific guidelines must be followed in medical...
Patient Complaints put Hospital Medical Billing Practices in the Spotlight
Revenue cycle management experts in medical billing companies are well aware of risks of billing errors. Mistakes can cost the healthcare provider a lot of money and headache in addition to destroying their relationship with their patients. Outsourcing medical billing...
Clinical Documentation Integrity Crucial to Optimize HCC Coding and Reimbursement
Changing regulations and reimbursement methodologies such as risk-adjusted and value-based models has put the focus on risk adjustment and hierarchical condition coding or HCC coding. Risk adjustment factors are used by government and many private payers to adjust...
Positive Growth Forecast for Global Medical Billing Outsourcing Market
A recent Transparency Market Research (TMR) market report indicates that the global medical billing outsourcing market will see steady expansion during the period 2016-2023. Several factors are driving this growth. The healthcare sector is growing rapidly as...
Hepatitis B Screening – the Latest Coding and Billing Updates
The Hepatitis B virus (HBV) and the Hepatitis C virus (HCV) are the two main viruses that cause chronic liver disease. Physicians with treating hepatitis B, such as infectious disease specialists, hepatologists, and gastroenterologists, can rely on medical billing and...