Surgeons are no strangers to the complexities of billing, but one small detail that can make a big difference in reimbursement is the correct use of CPT modifiers for global surgery. If you've ever wondered why a claim was reduced or denied despite providing top-tier...
Kidney-related illnesses can interfere with the body's capacity to clean the blood, filter extra water out of blood, and regulate blood pressure. Any injury to your kidneys can lead to a build-up of...
A craniotomy is the surgical removal of part of the bone (called a bone flap) – from the skull to access/expose the brain. The section of bone – called the bone flap – is removed using specialized...
Prolonged services are direct (face-to-face) services provided by a physician or other qualified health professionals that require unit/floor time beyond the usual services in either the inpatient...
Radiology imaging volume has expanded considerably. Radiology coding is an essential element of routine workflow such as ordering tests, scheduling, billing, and image interpretation. With the wide...
Vascular surgery is performed using a traditional surgical approach and a minimally invasive catheter-based endovascular approach. Arterial embolization is a minimally-invasive procedure that blocks...
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,...
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...
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...
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 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...
