Medicare audits are designed to help detect fraud, waste, and abuse while ensuring proper reimbursement. By conducting these reviews, Medicare aims to ensure that healthcare providers are comply with its billing regulations, documentation requirements, and medical...
Medical Billing
Medical Coding and Documentation Guidelines for Pneumonia
Pneumonia is a common lung infection caused by bacteria, viruses, or fungi. It leads to inflammation in the lungs, which fill with fluid or pus, with symptoms such as cough with phlegm, fever,...
How do you Code and Bill for Subdural Hematoma?
Head injury is a matter of serious concern that requires medical attention. A person suffering even a minor head injury may not experience any specific issues in the beginning, but internal bleeding...
What is ERA in Medical Billing?
Medical billing is a complex process that involves many phases and managing it efficiently is essential for proper claim submission and appropriate reimbursement from insurance companies. Electronic...
What is an EOB in Medical Billing?
Medical billing involves several steps and completing them correctly and in a timely manner is the key to successful claim submission. Today, most healthcare providers rely on medical billing...
2023 Integumentary System CPT Code Changes and Guidelines
The 2023 CPT code set that came into effect on Jan. 1 includes 225 new codes, 75 deletions and 93 revisions. There are three new codes in the integumentary system section, one code revision, and one...
What are the Medicare Physician Payment Policies that will Impact Medical Billing in 2023?
The Medicare Physician Fee Schedule (PFS) final rule released annually by the Centers for Medicare and Medicaid (CMS) updates the standards for physician reimbursement and policies related to health...
Glaucoma Coding Guidelines – A Common Diabetes-related Eye Disease
Glaucoma is a group of eye conditions that damage the optic nerve. This optic nerve damage is often the result of abnormally high pressure in the eye. According to the Centers for Disease Control...
What is Bundling and Unbundling in Medical Coding?
Medical coding is the conversion of healthcare diagnoses, procedures, medical services, and equipment into ICD-10, CPT, and HCPCS codes. Healthcare organizations need to use the appropriate medical...
What are the CPT Codes used in Physical Therapy?
Physical therapy benefits people of all ages who have medical conditions, injuries, or chronic diseases that limit movement and function. Physical therapy services help them maintain an optimal...
Medical Codes to Report Cystitis – A Painful Bladder Condition
Cystitis is a painful urinary tract condition that is more common in women. Urologists diagnose cystitis based on the immediate symptoms and medical history evaluation. Early diagnosis improves...