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...
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When a Dental Procedure is Considered Medical and Billable to a Medical Insurance?
Dental practices face unprecedented challenges – from rising costs and insurance complexities to regulatory changes, technological advancements, and evolving patient expectations. This has impacted...
How to Code and Bill Psychogenic Pain Disorder
Psychogenic pain disorder is a condition associated with psychological factors such as depression and anxiety. This pain disorder is not just caused by clear physical health conditions because...
Insurance Authorization Crucial To Avoid Radiology Claims Denials
Medical imaging is an essential element in modern medicine. Medical imaging technology continues to advance and radiologists have effective screening tools to detect potential health disorders or...
A New and Expanded Way to Document and Code Cough Symptoms
With frequent changes, deletions, and modifications happening with the medical codes, documenting and coding coughs have become rather complicated. The codes for cough symptoms have been expanded to...
CDC Announces New Diagnosis Codes Effective April 2022
The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) has released new ICD-10-CM/PCS codes for implementation on April 1, 2022. Medical...
What Are the Common RCM Mistakes to Avoid?
Healthcare policies and reforms are ever-changing, so it is important to keep up with this changing landscape with effective RCM (Revenue Cycle Management) strategies. Medical practices need to...
How Does A Medical Billing Outsourcing Company Code Vertigo And Its Treatments?
Vertigo is a sensation of feeling off balance that often comes with symptoms such as vomiting, headache, sweating, spinning, going unbalanced, or pulled to one direction. Even though the main cause...
Bundling And Downcoding Issues In Dental Billing And How To Address Them
Getting paid for services rendered is a major challenge for dental practices. While a dental billing company can help dentists manage the claims submission process, bundling and downcoding are two...
Common PT CPT Codes and Fee Schedules/Reimbursement Rates for a Medical Billing Service
Millions of Americans, especially seniors, utilize physical therapy (PT) to restore and improve functionality, reduce pain and increase mobility for endurance, stamina and balance. Physical therapy...
Patellofemoral Syndrome: Coding And Billing Guidelines
Patellofemoral syndrome or runner’s knee is common, painful injury treated in the outpatient setting. PFS presents with pain in the front of the knee and around the patella, or kneecap. According to...