A sprain occurs when direct or indirect trauma (for example, a fall, a blow to the body) knocks out a joint from its actual position and overstretches it and even ruptures the supporting ligaments in severe cases. The prolonged, repetitive movement of muscles and...
Coding for Alzheimer’s Disease – Important Considerations
Alzheimer's disease is a progressive brain disorder that gradually destroys memory and thinking capabilities. This condition is irreversible and the most common cause of dementia (loss of thinking, remembering, reasoning and other cognitive functioning that affect a...
Osteoporosis Coding in 2015 – An Overview
Osteoporosis is the most common bone disease that involves abnormal loss of bony tissue resulting in fragile or porous bones. According to the National Osteoporosis Foundation (NOF), two million broken bones occur every year due to osteoporosis in the United States....
Reimbursement Barriers to Dental Screening
According to healthcare experts, around 70 to 80 percent of bills for preventive or diagnostic dental care services such as preventive screenings, fluoride treatments and others can be covered with traditional fee-for-service plans or preferred-provider plans. While...
Preparations to Tackle Revenue Loss after ICD-10 Roll Out
One of the most important considerations practices must have while preparing for ICD-10 is tackling the revenue loss expected to occur just after ICD-10 implementation. The biggest costs will come to practices from lost productivity and claim denials due to coding...
Digital Breast Tomosynthesis (DBT) Coding in 2015
There is a significant change in coding for Digital Breast Tomosynthesis (DBT) in 2015. Three new procedure codes have been introduced in the 2015 CPT manual to describe the physician work and practice expense involved in breast tomosynthesis. The Centers for...
2015 Early Release Vaccine Codes and Proper Coding for Vaccinations
As the current flu season worsens, accurate vaccine coding is necessary for effective medical billing and accounting of services provided. Since influenza is constantly developing new viral strains, constant development of updated flu vaccines is vital. To keep up...
Value-Based Reimbursement Model Highly Beneficial For Primary Care
Primary care compensation has improved substantially, a consequence of physician and hospital reimbursement moving to value-based models based on quality and outcomes, from the earlier fee-for-service model. Healthcare staffing is also witnessing a new trend, with...
CMS Announces 1-year Grace Period for ICD-10 Transition
In a surprise concession, the Centers for Medicare and Medicaid Services (CMS) recently announced several changes to the plan for ICD-10 implementation in the United States. The new changes can be viewed as a joint initiative between the CMS and the American Medical...
Mammograms May Lead to Over diagnosis of Breast Cancer – Finds Study
Breast cancer is the second leading cause of cancer death among American women. Reports from the American Cancer Society (ACS) (2015 statistics),point out that about 231,840 new cases of breast cancer will be diagnosed in women and about 40,290 women will die from...