Medical billing and coding regulations play a critical role in determining reimbursement in healthcare organizations by ensuring that services provided are accurately documented, billed, and compliant with payer guidelines. Complying with industry regulations if...
Blog
Strategies to Prevent E/M Mistakes and Denials
A large volume of the claims processed by medical billing companies are those for evaluation and management (E&M) services. The key to maximizing payment and avoiding risk of audits is proper...
COVID-19 – New CPT Code for Lab Testing and Revised Specimen Handling Guidelines
As a medical billing company, we keep up to date with billing and coding changes and report on current and emerging healthcare issues, the latest of which is COVID-19. A new coronavirus (COVID-19)...
Report Narcolepsy Sleep Disorder with These Medical Codes
Narcolepsy is defined as a chronic neurological disorder that causes persistent sleepiness, sleep paralysis, hallucinations, and cataplexy. Sudden episodes of deep sleep can occur often even at...
Documenting Gout – Symptoms, Diagnosis and ICD-10 Codes
Regarded as a common and complex form of arthritis, gout causes sudden pain, redness, swelling, and stiffness in the joints. The condition is caused by the buildup of crystals made of a substance...
Ways to Improve HEDIS Reporting Efficiency
The Healthcare Effectiveness Data and Information Set (HEDIS) is a system maintained by the National Committee for Quality Assurance (NCQA) for evaluating the ability of health plans and providers...
Overcoming Key Challenges in Dental Billing and Coding
In today’s healthcare environment, dental practices face various billing and coding challenges. CDT codes are subject to frequent changes which are not always easy to understand. Billing dental...
ICD-10 Codes for Reporting the Top Six Urologic Conditions
Regarded as a common condition that affects people of all age groups, urologic disorders encompass illnesses and diseases of the genitourinary tract. These disorders refer to illnesses of the male...
CPT Code Updates impacting Orthopedics in 2020
New, revised, and deleted CPT codes and coding guidelines became effective Jan. 1, 2020. Like all specialties, orthopedic practices need to stay updated on the latest coding updates and rules to...
Key Strategies for Improving Clinical Documentation in 2020
Precise, complete, trustworthy, and timely documentation is critical to validate services provided, reduce risks, and improve patient care. With accurate clinical documentation, a medical billing...
ICD-10 and CPT Coding Updates for Urology in 2020
Several ICD-10 and CPT code changes came into effect for urology in 2020. Practitioners need to understand the updates and associated urology medical billing guidelines to ensure accurate reporting...