Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased...
Medicare Looking to Expand Telehealth Services – Learn the Reimbursement Rules
The recent introduction of rare bipartisan legislation to expand Medicare's telehealth services is being hailed as a development that could potentially reduce costs and improve patient health. With...
CPT Medical Coding Modifiers: Examples and When to Use Them
Various types of Current Procedural Terminology (CPT) codes are used in medical billing. Category I CPT codes describe medical, surgical, and diagnostic procedures and services, while HCPCS codes...
Clinical Documentation Integrity Crucial to Optimize HCC Coding and Reimbursement
Changing regulations and reimbursement methodologies such as risk-adjusted and value-based models has put the focus on risk adjustment and hierarchical condition coding or HCC coding. Risk...
Report: U.S. Healthcare Revenue Cycle Management Industry to Exceed USD 38 Billion by 2024
Medical billing and coding companies use the latest technologies to develop and implement processes and policies to help physician practices and hospitals stay financially healthy as they treat...
Top Reasons for Claims Denials Post ICD-10 Grace Period and Tips to Tackle Them
Healthcare providers and medical coding companies had a one-year grace period for ICD-10-coded medical claims. According to a recent report in Physicians Practice, claims statistics showed...
Documenting Tonsillitis with Specific ICD-10 Medical Codes
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,...
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...
Medicare’s New Health Insurance Market Place Rules – Impact on Risk Adjustment/HCC Coding
The Centers for Medicare and Medicare (CMS) has released new health insurance market place rules which will take effect from January 17, 2017. Referred to as the “payment notice,” the rule is an...