Different types of technological advancements are making their way into physicians’ practices and helping them manage their workflow better. Insurance eligibility verification got a makeover...
How Physicians can Optimize Revenue from Wellness Visits
The Affordable Care Act (ACA) encourages patients to be much more active participants in their own healthcare and learn about their covered medical services. Medicare beneficiaries now get coverage...
October 1, 2016 Ends ICD-10 “Flexibilities” – Accuracy No Longer Optional
CMS had granted healthcare providers, hospitals and medical coding companies a one-year grace period for ICD-10-coded medical claims. An ICD-10 coding flexibility policy was implemented last year...
How to Code for Hypertensive Heart Disease
Hypertensive Heart Disease (HHD) refers to damage inflicted on the heart as a result of prolonged high blood pressure (hypertension). It is one of the leading causes of illness and death associated...
Medical Billing for Behavioral Health Services – Challenges and Solutions
Recent changes to both diagnostic and procedure codes as well as variability in requirements across private and public insurers pose many challenges for behavioral health medical billing: ICD-10-CM...
Medical Specialties with Complex Coding Challenges under ICD-10
Now that ICD-10-CM implementation is well on its way, it is evident as to how various specialties have been affected by the changes. Providers can ensure appropriate reimbursement only by...
Challenges of Coding for Immunizations
Billing for vaccine administration is challenging and explains why many providers choose medical billing and coding outsourcing. There are different codes for Medicare and private insurance...
Avoid Risky Practices with Medical Coding Outsourcing to the Right Company
Every physician knows the consequence of using a wrong diagnostic code – it will not only affect reimbursement, but more importantly, also jeopardize patient care. Medical coding outsourcing helps...
Ensure Reimbursement for Significantly Complex Procedures with Proper Use of Modifier 22
General surgery medical billing and coding is quite complex. When a surgeon performs an operation, it may entail more than what was planned, in which case modifier 22 increased procedural services...