As healthcare expenses continue to rise, implementing cost-saving strategies for healthcare practices is no longer a luxury but a necessity for survival. Inflation, staff shortages, and lower reimbursement rates from payers are some of the key challenges faced by...
Recent changes to both diagnostic and procedure codes as well as variability in requirements across private and public insurers pose many challenges for behavioral health medical billing: ICD-10-CM...
Pulmonary rehabilitation is a multidisciplinary program meant for patients with chronic respiratory conditions, especially for those with chronic obstructive pulmonary disease (COPD). Physicians...
Postoperative complications significantly contribute to patient morbidity and mortality, prolonged hospital stays, and increased healthcare costs. These complications can be general or specific to...
Now that ICD-10-CM implementation is well on its way, it is evident as to how various specialties have been affected by the changes. Providers can ensure appropriate reimbursement only by...
There are several differences between the format of ICD-9 and ICD-10 coding and this has brought about new medical billing and coding challenges. One of these is the need to assign the 7th character...
Can a virtual-reality game played on mobile phone really cause physical injuries? Yes, “Pokemon Go” can. The craze for the game is resulting in more and more accidents. Using Google Maps, it creates...
Emergency department (ED) visits identified by CPT code 99285 require three key components: comprehensive history, comprehensive examination, and medical decision making of moderate complexity....
Billing for vaccine administration is challenging and explains why many providers choose medical billing and coding outsourcing. There are different codes for Medicare and private insurance...
The Centers for Medicare and Medicaid (CMS) conduct Risk Adjustment Data Validation (RADV) audits to recover improper payments under Medicare Part C or Medicare Advantage (MA) plans. In risk...
One of the significant developments that have impacted Medicare Advantage (MA) plans during the past decade is HCC (Hierarchical Condition Categories) coding. Medicare has used the HCC coding model...
