Preauthorization (P.A), also known as precertification, prior authorization, or prior approval is a mandatory process set by many insurance companies to determine whether the plan(s) cover the prescribed treatment, procedures, medication or equipment. This is to...
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ICD-10 Code Changes Effective Oct 1, 2020
Our medical billing and coding company reports on the new ICD-10 codes that come into effect each year starting October 1. Proposals for the fiscal year 2021 include 490 new, 47 revised, and 58...
Coding Otosclerosis – A Hearing Loss Disorder
Regarded as one of the most common causes of progressive hearing loss, otosclerosis is a condition that occurs due to abnormal bone growth around one of the three small bones in the middle ear space...
Coding Hematuria – A Common Urinary Disorder
Seeing blood in the urine can be quite alarming. Even though in many cases the exact causes are harmless, blood in the urine can indicate a serious disorder. The blood may be visible in such small...
Facet Joint Syndrome – Billing Considerations
Pain is one of the most common issues treated in hospital emergency departments (EDs). The Centers for Disease Control and Prevention estimates that 50 million Americans (or about 20 percent of the...
Four New CPT Codes to Report COVID-19 Laboratory Testing
Four new codes have been introduced for coronavirus testing. This is in addition to the COVID-19 CPT code and description for testing came into effect on March 13, 2020, that our medical billing...
Documenting and Coding Bipolar Disorder
Regarded as a serious mental health condition, bipolar disorder causes severe changes in a person’s mood, energy and activity levels that can make day-to-day functioning difficult. Formerly known as...
Four Common Sports Injuries and Related ICD-10 Codes
Participating in sports activities is a great way to maintain an active and healthy life, but it can also be a common source of injury. Injuries typically occur due to repetitive movements or when...
ICD-10 Codes for 3 Conditions that Chiropractors Treat
Chiropractic care is widely recognized as one of the safest, drug-free and non-invasive therapies available for the treatment of neuro-musculoskeletal complaints. Day-to-day hurdles of life can put...
Understanding MPPR and Modifier 51 Use
As surgical and medical services often include pre-procedure and post-procedure work, healthcare providers may perform multiple procedures during a single patient encounter. Multiple Procedure...
Coding Mitral Valve Prolapse – A Common Heart Valve Abnormality
Regarded as the most common heart valve abnormality, mitral valve prolapse (MVP) occurs when the flaps (leaflets) of the heart’s mitral valve do not close evenly, but bulge (prolapse) into the...