Primary care physicians play a major role in delivering definitive care to patients at the point of first contact and continue taking responsibility for the same. They provide care for a wider range of health conditions than most specialists do, thereby introducing a...
Diagnostic Coding for Deadly Pandemics – An Overview
It is very important to assign accurate diagnostic codes for a pandemic, for correct medical billing as well as tracking the outbreak. When submitting claims for treatment, you should report the ICD code in the diagnosis code field and provide additional documentation...
Routine Lung Cancer Screening – Important Vis a Vis Early Detection and Treatment
Providers can use the new HCPCS code - S8032 recently released by CMS for medical billing purposes when reporting low-dose CT for lung cancer screening. Lung cancer is considered the second most common cancer in the United States affecting both men and women....
2015 Physician Fee Schedule Includes New Code for Chronic Care Management
The Centers for Medicare & Medicaid Services (CMS) recently released the proposed physician fee schedule for the year 2015. This fee schedule includes a new code for chronic care management (CCM). It also features projected pay cuts required by the sustainable...
US Hospitals Fail to Meet EHR standards – Study Says
Implementation of electronic health records is considered a practical solution that will help streamline processes in healthcare settings, while also ensuring enhanced patient care and support. However, a recent survey conducted by the American Hospital Association...
Telehealth Coverage Increased by Medicaid
With the full implementation of the Affordable care Act (ACA), the demand for healthcare services are expected to increase at a rapid pace. The expansion of the Medicaid program along with the introduction of new health insurance exchanges have enabled people to have...
Effective Steps Orthopedic Surgeons Could Take to Prevent Medication Errors
The first report of The Institute of Medicine (IOM), the famous 'To Err is Human' published in 1999 revealed that around 7000 deaths occur annually from medication errors alone. In 2006, another report from the IOM pointed out that the extra medical costs for...
The Need to Make EHRs User-friendly
According to a survey conducted last year by MedData Group, many physicians are dissatisfied with their electronic health record system (EHR). Up to 85% of the physicians said that their EHR resulted in lost productivity due to the need to spend more time on...
Routine Screening for Colorectal Cancer to Facilitate Early Diagnosis and Treatment
The Affordable Care Act (ACA) requires health benefit plans that started on or after September 23, 2010 to provide coverage for colorectal cancer screening tests. For those plans that started before September 23, 2010, the rules about insurance coverage are determined...
Top Challenges Medical Practices Face
With new regulations, increased administrative burdens, technology changes, and new reimbursement models, physician practices face myriad challenges. As diagnosis codes become more specific with ICD 10, additional resources will have to be allocated to medical billing...