There’s good news for psychologists and other qualified healthcare professionals who provide phone consultations. During the COVID-19 public health emergency, the Centers for Medicaid and Medicare Services (CMS) will reimburse many audio phone-only behavioral health...
Observe American Heart Month – Join the Battle against Heart Disease
Each year, the month of February is observed as “American Heart Month” - the perfect time to increase awareness about heart disease - the most pressing health concern in the United States. Sponsored by the American Heart Association (AHA), this federally designated...
Get Ready for New Medicare Beneficiary Identifier (MBI)
This is an update to the blog - CMS’ New Medicare Cards (MBI) - Get Ready for It! Effective January 1, 2020, all claims submitted to Medicare must be billed with the new Medicare Beneficiary Identifier (MBI) in place of the Health Insurance Claim number (HICN)....
Medicare Now Provides Coverage for CAR T-cell Therapy
The Centers for Medicare & Medicaid Services (CMS) recently announced its decision to cover the expensive Chimeric Antigen Receptor (CAR) T-cell Therapy for cancers. This cancer treatment uses a patient’s own genetically modified immune cells to fight cancer. The...
Reimbursement and Documentation Rules for Assistants at Surgery
An “assistant at surgery” refers to a licensed professional who actively assists the operating surgeon while performing a surgical procedure. This assistant surgeon provides more than just ancillary services. “Assistant at surgery” is a billable service and Medicare...
CMS Revises Rules for Transcatheter Aortic Valve Replacement (TAVR)
Transcatheter Aortic Valve Replacement (TAVR) or Transcatheter Aortic Valve Implantation (TAVI) is a procedure for replacement of the aortic valve of the heart through the blood vessels. This minimally invasive procedure is done for a condition known as “aortic...
WHO adds Burnout as “Occupational Phenomenon” in ICD-11
ICD-11 carries about 55,000 codes for injuries, diseases and causes of death, including several new codes and updates. Medical billing and coding service providers are aware that their teams will need extensive training and practice to help healthcare organizations...
ICD-10 Codes for Tobacco Use, Dependence, and Exposure
According to the World Health Organization (WHO), more than 40 percent of smokers globally die from lung diseases, such as cancer, chronic respiratory diseases and tuberculosis. Tobacco use is the largest preventable cause of death and disease in the United States....
Avoid Claim Denials to Save Time on Appeals and Resubmissions
According to a report from the American Health Information Management Association (AHIMA), nearly 20 percent of all claims are denied, with average claims denial rates reaching 10 percent or more. Health insurance companies deny claims for various reasons such as...
Revenue Cycle Management a Major Concern for Healthcare Providers, finds New Survey
As a medical billing company, we are focused on helping healthcare organizations manage their revenue cycle effectively. A recent survey by Health Data Management shows that despite the emphasis on value-based care, revenue cycle management (RCM) continues to be a...