Low-frequency ultrasound (LFU) wound care management involves the use of non contact ultrasound to treat chronic wounds such as pressure ulcers, diabetic foot ulcers, post-surgical wounds, burns and more. To receive the correct reimbursement for this service,...
Quality Measures Linked to Small yet Increasing Percentage of Physician Payment
Healthcare providers improving a patient’s experience and medical care through quality treatment and care can improve the health of populations along with reducing the per capita cost of healthcare. According to the survey data released last week by MGMA, the Medical...
CMS to Give More Details on ICD-10-PCS Section X in June
Concerns regarding reporting new technologies, drugs and supplies led to the creation of Section X in ICD-10-PCS set for implementation on October 1, 2015. These concerns raised at the September 2014 meeting prompted the ICD-10 Coordination and Maintenance Committee...
Controversial Sustainable Growth Rate (SGR) Formula Repealed
This April, the Senate approved to repeal the sustainable growth rate (SGR) formula for determining Medicare reimbursements. This controversial Act had been a great challenge to physician billing as it induced considerable reimbursement cuts for Medicare doctors. The...
Coding for Autism Spectrum Disorder (ASD)
Early diagnosis and intervention is very important to ensure quality treatment for autism spectrum disorder or ASD, which is characterized by restricted, repetitive, and stereotyped patterns of behavior, interests, and activities. As the way in which ASD is being...
Don’t Let the Heat Get to Your Mobile Phone – Try These Tips
The mobile phone has become a staple feature in physicians’ offices and other healthcare facilities with an increasing number of US physicians using smartphones. According to a 2015 Kantar Media study, 84% of US physicians polled said they used smartphones for...
Celebrate National Cancer Survivors Day 2015 – Highlight the Ongoing Challenges of Cancer Survivorship
The 28th Annual National Cancer Survivors Day (NCSD) was celebrated on June 7, 2015 in the United States. Observed worldwide on the first Sunday of June each year, this campaign aims to honor the hundreds of cancer survivors and their families and friends who have...
Coding and Billing for Fecal Microbiota Transplant (FMT)
It is very important to remain vigilant while coding and billing for Fecal Microbiota Transplant (FMT) since private payers and Medicare pay for this procedure differently. This procedure may be considered medically necessary with three or more recurrences of...
Slight Cuts Proposed for Medicare Advantage Payments for 2016
This February, the U.S. government proposed a 0.9 percent cut in payments to insurers for Medicare Advantage (MA) plans for the year 2016. The proposal came as part of a notice issued by a division of the U.S. Department of Health and Human Services that sets premium...
How to Distinguish Good Medical Billing Companies from Bad Medical Billing Companies
Outsourcing medical billing tasks to a professional medical billing company is a great way for health care providers to ensure proper reimbursement and devote more time to patient care. However, to choose the right medical billing company, you need to compare service...