Spine surgery is one of the most common procedures performed by spinal orthopedists and neurosurgeons. In 2017, these specialists and the medical billing and coding companies that serve them are...
Medical Coding and Billing for Advance Care Planning
According to the Population Reference Bureau, the number of Americans ages 65 and older would more than double from 46 million in 2016 to over 98 million by 2060, and the share of the 65 plus age...
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...
New Epidural Injection Codes to Improve Pain Management Reimbursement in 2017
Starting January 1, 2017, there are eight new epidural injection CPT codes which replace codes 62310-62311 and 62318-62319. When it comes to pain management billing, knowledge of the new codes and...
Avoid the Perils of Undercoding with Medical Billing Services
Undercoding is as much a problem as overcoding and occurs when the CPT and HCPCS codes billed do not indicate the full scope of the work performed by the physician or facility. In addition to lost...
Natural Language Processing Unveils HCC Coding and Reimbursement Opportunities
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...
Learn the Facts about Modifier 57
Coding experts in established medical coding companies are well-versed in the use of various modifiers to comply with industry guidelines. Simple two-character designators that indicate how the code...
How to Establish Medical Necessity with Proper Medical Coding and Documentation
Medicare defines medical necessity as: “health-care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted...
When is Nurse-led Hospital Discharge Valid?
A complex process, discharging patients from the hospital comes with many challenges, including liability risks. Nurse-led discharge, however, has gained wide acceptance in many developed countries...