Hospitalist coding needs to be accurate and efficient since it directly affects reimbursement for the integral services rendered by the hospitalist. The hospitalist is an integral part of the modern...
Psychiatry Coding and Documentation – What to Know
Mental health issues are vast and include: anxiety and panic disorders, depression, schizophrenia, personality disorder, narcolepsy, and other sleep disorders. Mental health services provided by...
Downcoding – Definition, Impact and Prevention Tips
The Comprehensive Error Rate Testing (CERT) program is conducted under the direction of the Centers for Medicare and Medicaid Services (CMS) to measure improper payment in the Medicare...
ICD-10 Codes for Endocrine Disorders
Complete, clear and consistent documentation is crucial for on-time reimbursement. Just as any other specialty, endocrinologists’ reimbursement is based on the documentation in the medical record....
Implications of Medicare Payment Changes for Hip, Knee Surgery
Hip and knee replacements are considered to be the most common surgeries among Medicare beneficiaries and hence very significant in orthopedic medical billing. Even though there are some incentives...
ICD-10 Coding for Cervical Disc Disorders and Displacements
Cervical disc disorders and displacements are the other common conditions treated at orthopedic practices apart from fractures and injuries. With the implementation of ICD-10, practices require more...
How to Get Preauthorization from Insurance Companies
Most healthcare plans ask for pre-authorization for certain services rendered at a healthcare facility. The list of services may vary according to the plan and insurance company. The aim of the...
How to Write a Pre-authorization Letter for a Medical Procedure
Pre-authorization or written approval from the insurance company is required for certain medical procedures (for example, outpatient surgery, MRI, CT or PET scans, chemotherapy or radiotherapy)...
Medical Coding for Treadmill Stress Testing – An Overview
Treadmill stress testing is a diagnostic test that uses treadmill bicycle and helps physicians to check how well their patient’s heart handles the work and whether the blood supply is reduced in the...