Medicare auditing is designed to help detect fraud, waste, and abuse while ensuring proper reimbursement. By conducting these reviews, Medicare aims to ensure that healthcare providers are comply with its billing regulations, documentation requirements, and medical...
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...
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...
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...
Coding and billing vaccine administration in an outpatient setting is challenging because vaccine codes are based on several factors, with different codes for Medicare and private health plans....
ICD-10 with its increased specificity ensures more accurate data and better patient care as a result. The new coding system will allow primary care physicians to document chronic conditions and...
As per the National Institute of Health (NIH), around 750, 000 Americans are affected by severe sepsis every year and around 210, 000 of these people die. The major impediment to providing treatment...
Autism spectrum disorder (ASD) is a range of intricate neurodevelopmental disorders characterized by difficulties in communication, social impairments, and repetitive stereotyped behavioral...
Epilepsy (also referred to as "fits”) is a serious neurological disorder in which the central nerve cells in the brain work abnormally causing seizures. According to 2014 statistics, approximately...
The American Medical Association (AMA) announced new resources that will help physicians to overcome the financial risks associated with grace period rule in the Affordable Care Act (ACA). This rule...
The Patient Protection and Affordable Care Act (ACA) was implemented to enable easier and more effective healthcare access to millions of Americans. Presently, the health insurance marketplace is...
