As the 2024-2025 flu season approaches, it's important for medical practices to be up-to-date with the guidelines and CPT and ICD-10 codes for flu vaccine administration. Administering the flu shot is a crucial part of preventive care, but navigating the complexities...
Blog
CMS Proposes New Quality Measure Changes for Medicare ACO Program
The Affordable Care Act (ACA) necessitates the Centers for Medicare and Medicaid Services (CMS) to launch a shared savings program to facilitate coordination among healthcare providers thereby...
Provisions of the 2015 Medicare Physician Fee Schedule
At the end of October 2014, the Centers for Medicare & Medicaid Services (CMS) released the 2015 Medicare Physician Fee Schedule (PFS), which updates payment policies and payment rates for...
Alarming Rise in Adult Obesity Rates in the U.S
A few months ago, the Centers for Disease Control (CDC) data showed a decline in obesity rates in American children. Now, Gallup-Healthways Well-Being Index survey has found that adult obesity rate...
Impact of Obamacare in the Healthcare Industry
The Patient Protection and Affordable Care Act, more commonly known as Obamacare was enacted with the goals of making healthcare more accessible, affordable, and of higher quality, while reducing...
Ensuring Medicare and Medigap Reimbursement
Medicare does not cover all health-related services and medical supplies and pays 80 percent of allowed expenses. Enrollees must still pay Medicare copayments, deductibles and coinsurance amounts...
Use Modifier 24 Correctly
Modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) is to be used to report an unrelated E/M (evaluation and management) service during the...
4 New HCPCS Modifiers in Lieu of the -59 Modifier
CMS is introducing four new HCPCS (Healthcare Common Procedure Coding System) modifiers to identify subsets of modifier 59 that is used to designate a "distinct procedural service". The new subset...
Importance of Accurate Coding in Rheumatoid Arthritis Diagnosis and Management
Accurate documentation of any health condition is important from the point of view of patient care as well as timely and correct reimbursement. Rheumatoid arthritis (RA) coding is thus an important...
Outpatient Diagnostic Errors Now Common in the US – 1 in 20 US Adults Affected
Misdiagnosis is proven to be a serious concern for hospitals and may lead to patient harm, incorrect or delayed treatment, wasted resources and malpractice lawsuits. A wrong diagnosis by a...
How Patient Engagement Benefits Your Revenue Cycle
Keeping the patients engaged and loyal has become important to the long-term financial viability of a healthcare practice. The new health plans have increase the patient's financial responsibility...