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Category Archives: Medical Coding News

OIG Finds Errors in Coding Right Heart Catheterization – Know the Rules

The Centers for Medicare & Medicaid Services (CMS) has complex billing rules and experienced medical coding companies are well aware that errors in processing claims for these government-sponsored health programs can prove extremely costly, making providers vulnerable to audits and penalties. According to a recent report from the HHS Office of Inspector General (OIG), hospitals […]

Learn the Essentials of Knee Arthroscopy Coding

Knee arthroscopy is an effective and frequently used tool for diagnosing knee conditions such as meniscus tears and cartilage wear. Orthopedic surgeons and their medical coding service providers need to understand the different types of CPT codes involved as well as Medicare’s National Correct Coding Initiative (NCCI) guidelines, procedure-to-procedure edits, and private payer guidelines to […]

Radiology CPT Code Changes Proposed for 2018

Radiology practices and medical coding companies need to be ready to implement several radiology code changes and guidelines coming up in 2018. Announcing these anticipated changes, the American College of Radiology (ACR) notes that many of the new codes are outcome of bundling mandates from the AMA’s Relativity Assessment Workgroup (RAW) aimed at identifying services […]

Key Points to Note about Hypertension Coding in 2017

An article published in the American Journal of Hypertension earlier this year found a rising trend in hospitalization for hypertensive emergency with reduction in hospital mortality during the last decade. Patients with acute cardiorespiratory failure, chest pain, stroke, acute chest pain, or aortic dissection were at the most risk of higher hospital mortality among other […]

Coding Musculoskeletal Ultrasound Guided Procedures

Safe and noninvasive, ultrasound is being increasingly used in various medical specialties. Ultrasound is considered the appropriate imaging service to diagnose musculoskeletal (MSK) conditions, specifically shoulder pain and certain ankle and tendon pain. Medicare reimbursements for MSK ultrasound studies increased by 316% from 2000-2009. Experienced medical billing and coding companies help providers take advantage of […]