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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Avoid Claim Denials for Audiology Services with Thorough Insurance Verification
Outpatient audiology services are usually covered by health plans, but with limitations, making audiology insurance verification crucial for efficient claim submission and proper reimbursement....
Medical Coding for Acute Abdominal Pain (AAP) in the Emergency Department
Acute abdominal pain (AAP), characterized by pain arising from the abdominal area is ranked as the top common causes for referral to an emergency room and non-trauma-related hospital admissions. It...
How to Code for Addison’s Disease Using ICD-10 Medical Codes
Addison's disease (also known as primary adrenal insufficiency or hypoadrenalism) is a rare disorder which occurs when the outer layer of the adrenal glands gets damaged. The adrenal glands are two...
Five Common Summer Ailments – Be Ready with the ICD 10 Codes
Fun-filled outdoor activities in summer can also bring certain perils. From insect bites to sunburn to dehydration and fractures, physicians' practices and their medical coding companies need to be...
Coding for Gall Bladder Disease and Cholecystectomy
About 20 million people in the USA (15% of the population) have gallstones, according to the World Gastroenterology Organization. Cholecystitis or gallstone disease occurs when gallstones...
Documenting and Coding Heart Failure in 2018
Heart disease is the most common cause of death and disability in men in the U.S. According to the American Heart Association, 1 in 3 American men suffer from one or more cardiovascular conditions,...
How to Document Spondylolisthesis with Accurate ICD-10 Codes
Spondylolisthesis is a degenerative spine condition used to describe vertebral slippage in any direction. Most commonly seen in the lower back (lumbar spine), this spinal condition occurs when one...
Insurance Verification of OAT for Sleep Apnea – FAQ
Sleep apnea is a serious sleep disorder that occurs when a person's breathing is repeatedly interrupted during sleep. The involuntary pause in breathing can result either from a blocked airway or a...
WHO releases ICD-11 – Overview and Highlights
The World Health Organization (WHO) announced the much anticipated release of ICD-11 on 18 June 2018. This preview will give physicians and medical coding companies time to adjust to the new...
Peptic Ulcer – Symptoms, Diagnosis, and Assigning the Correct ICD-10 Codes
A common health problem, a peptic ulcer is an open sore that forms when your stomach acids etch away the digestive tract's protective layer of mucus. This condition usually occurs due to...