Staying compliant with current medical billing and coding practices is vital for healthcare entities to reduce claim errors, avoid any potential legal and financial risks, and thus ensure accurate reimbursement. Adhering to standard practices involves staying abreast...
There are certain services that require pre-certification, pre-notification or pre-authorization from the insurance company. You need to make sure whether a particular service requires...
Family practice physicians should not only understand the basic changes with the ICD-10 to successfully prepare for ICD-10 implementation but also the additional documentation details the changes...
Computed Tomography (CT) scans and services are crucial when it comes to radiology billing for Medicare. During the 2014 reporting period for the Comprehensive Error Rate Testing (CERT) program, it...
Pre-authorization or written approval from the insurance company is required for certain medical procedures (for example, outpatient surgery, MRI, CT or PET scans, chemotherapy or radiotherapy)...
Medicare Part B covers two types of services - medically necessary services and preventive services. While Part A focuses on emergency services, Part B covers day-to-day medical needs and this is...
The properties of some drugs, medicinal and biological substances or their combinations may cause toxic reactions in patients. The ICD-9-CM coding system has classified these reactions into adverse...
Medical coding for mental and behavioral disorders in ICD-10-CM is different from that of ICD-9. Though some ICD-10 codes mirror ICD-9, there is expanded granularity for certain categories. More...
According to the Centers for Disease Control and Prevention (CDC), more people in the United States are addicted to nicotine (the drug found in tobacco) than any other drug. Many clinics are...
Early this year, we talked about the Black Book Market Research survey, revealing the sharp rise of revenue cycle management (RCM) outsourcing among healthcare providers. Now, a new Black Book...
Treadmill stress testing is a diagnostic test that uses treadmill bicycle and helps physicians to check how well their patient’s heart handles the work and whether the blood supply is reduced in the...
