Tonsillitis is inflammation of the tonsils most commonly caused by a viral or bacterial infection. Health professionals who treat this condition include pediatrician, family medicine physician, otolaryngologist (ear, nose, and throat, or ENT doctor) and nurse...
Steer Clear of Audit Risks with Proper E/M Documentation
Many physicians outsource revenue cycle management to medical billing companies to enhance cash flow and reduce costs. However, accurate documentation of the patient encounter is necessary to achieve these goals. In fact, E/M documentation compliance is crucial to...
Influenza Vaccine Coding in 2017 – Key Points to Note
The goal of immunization providers is to ensure that vaccines reach all people who need them. Accurate vaccine coding increases opportunities for enhanced/appropriate reimbursement, reduces audit and liability risks, and improves information flow. Various vaccine code...
Veteran Health Care in 2017 – Key Possibilities and Predictions
Legislation passed in 2014 allowed military veterans with access to physicians outside Veteran Administration (VA) facilities, including community based family practitioners. Family physicians who participate in Medicare are eligible to sign agreements with the VA to...
New 2017 Moderate Sedation CPT Codes to Impact Reimbursement across Multiple Specialties
CPT coding changes for moderate sedation (MS) in 2017 will impact reimbursement across various specialties. Outsourced medical billing companies are prepared for these changes that have created new billing and workflow requirements in practices. As a consequence of...
ICD-10 Glitch – What Physicians Should Know
Physician coding companies played a key role in helping healthcare providers across the nation transition to ICD-10. Now recent reports say that there is a glitch in ICD-10, which CMS points out occurred as a result of the changes in the ICD-CM (Clinical Modification)...
Top Challenges Physicians Could Face in 2017
Medical billing and coding changes happen every year. With the change in U.S. presidency from Barack Obama to Donald Trump, big changes are expected in the healthcare industry this year. According to a recent survey by Capital One Spark Business, cash flow and...
Medical Billing and Coding for Chronic Care Management Services in 2017 – Key Points to Note
Medicare has made many changes to billing and coding for chronic care management (CCM) services in 2017 to improve payment accuracy. There are several opportunities to enhance reimbursement for certain CCM services that were not billable earlier and an experienced...
Learn the Nuances of Medical Billing and Coding for Stroke
The leading cause of death and long-term disability in the U.S., stroke causes loss of neurological function due to a blood clot in the brain or intracranial hemorrhage. One of the most common conditions that a physician coding company codes for is ischemic stroke or...
Global Revenue Cycle Management Market Trends and Analysis from 2016 – 2022
Revenue cycle management (RCM) is a crucial financial process for any healthcare facility to track patient care episodes from registration and appointment scheduling to the final payment of a balance. The process helps to manage the integration of reimbursement and...