Healthcare professionals often face challenges when seeking reimbursement for pediatric therapy. While commercial insurance companies cover most pediatric services, they often impose limitations and conditions that can lead to claim denials. Pediatric billing denials...
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,...
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...
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...
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...
Kidney transplantation is an effective treatment for people with kidney disease, especially end-stage renal disease (ESRD) that occurs when the kidneys do not function any more at a level that is...
The United States Department of Health and Human Services (HHS), the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) recently...
In their new guidelines, the American College of Physicians (ACP) advises that adults who are at lower risk for heart disease need not undergo screening tests such as EKGs and other cardiac stress...
It has been established beyond doubt that the health care in the U.S. is the most expensive in the world at 8.508 per capita. Implementing the Affordable Care Act will be meaningless unless the U.S....
Regular screening increases the chances of detecting certain cancers early, when they are most likely to be curable. However, screening strategies vary in intensity and value. Many people have a...
It is very important to remain very cautious when coding for burns in an emergency setting. This is mainly because the medical coding rules and regulations for burn care are complex, are subject to...
