Completing and processing medical billing claims for patients enrolled in the Medicare and Medicaid programs requires specialized knowledge and also awareness about changing scenario. Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2017...
Periodontal Care – Importance of Comprehensive Insurance Verification
The changes taking place in the health industry have also affected dental care. Dental practices need to be alert to verifying dental insurance verification, benefits and predeterminations before patients come in for treatment. Periodontal care can range from routine...
ICD-10 Code for Zika Virus
First confirmed in Brazil in May 2015, Zika virus has spread rapidly, reaching 23 countries and territories. When it comes to the medical coding of this virus, the American Health Information Management Association (AHIMA) has recently recommended that the ICD-10 code...
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 licensed psychologists and mental health counselors are reimbursable....
New ICD-10 Lab Test Codes Increase Complexity
The need for medical coding outsourcing is increasingly being felt by all kinds of healthcare practices, because of the new ICD-10 codes that seem to add further complexity to the already tricky coding process. The ICD’s 10th edition features many new codes and...
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 Fee-For-Service program, which helps in ensuring that your medical coding is...
ICD-10 Coding for Hip Fractures
Fractures of the proximal femur or hip are quite common in elderly, osteoporotic patients. While many of them are clinically and radiologically obvious, there are fractures more difficult to diagnose. Sometimes, repeat X-ray, CTs and MRIs may be required to confirm...
CDC Reports Significant Decline in Newly Diagnosed Diabetes Cases
As per a new report released by the Centers for Disease Control and Prevention (CDC), new cases of diabetes are on the decline. If the number of new cases of diabetes among the US population aged 18 to 79 years was more than 1.7 million from 1991 to 2009, the number...
Medical Coding for Pain Management Services
Pain management medical coding can be a challenge for busy specialists. Pain can be acute, chronic, or both. Treatment strategies differ depending on the type of pain present. Reliable and consistent documentation of pain management, which includes patient responses...
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. Endocrinology medical coding involves assigning the accurate diagnosis...