The coding and billing considerations for an obstetric anesthesia procedure differ from the surgical anesthesia procedure. So, navigating the nuances of obstetric anesthesia requires precise identification and reporting of the latest CPT codes relevant to the service...
Blog
CMS Replaces G codes for Mammography with CPT Codes
This blog is an update to our post published on February 10, 2017 - Use New CPT Codes Correctly to Maximize Reimbursement for Mammography in 2017. Mammography for breast cancer screening has seen...
FDA Approved Spinal Cord Stimulation Devices offer New Hope for Non-opioid Management of Chronic Pain
The US Food and Drug Administration (FDA) recently approved two new spinal cord stimulation systems: the Senza II Spinal Cord Stimulation (SCS) System from medical device company Nevro Corporation...
Improper Medical Billing Inflating Medicare Beneficiaries’ Out-of-Pocket Costs
According to the Centers for Medicare and Medicaid (CMS), more than 8.8 million Americans were signed up for 2017 coverage through HealthCare.gov as of January 14, 2017, up from 8.7 million on the...
How to Code for Electromyography (EMG) and Nerve Conduction Studies (NCS)?
Electrodiagnostic medicine (EDX) evaluation, which includes electromyography (EMG) and nerve conduction studies (NCS), is an important component of the clinical evaluation of patients with disorders...
Increased Claim Denials Cost Hospitals $3.5 million, Finds Survey
According to the Revenue Cycle Survey from Advisory Board that involved healthcare executives from 90 organizations and data from nearly 300 organizations, hospitals wrote off as uncollectable 90%...
What are the Changes, New Codes and Implications of the 2018 PFS for Anesthesia Providers
In November 2017, the Centers for Medicare & Medicaid Services released two final rules that would affect payment for physician services. The Medicare Physician Fee Schedule (PFS) Final Rule was...
CMS Publishes New Payment Rates for Blue-light Cystoscopy
Cystoscopy is one of the most common procedures performed by urologists to detect bladder cancer. According to the 2018 Outpatient Prospective Payment System (OPPS) final rule, the Centers for...
How to Code Common Dermatological Skin Procedures
Reporting skin procedures is complex as the codes should be assigned based on the type of removal, the size and location of the lesion, the provider's intent, and pathologic results. Outsourcing the...
Challenges Facing Medical Practices in 2018 and How Outsourcing Can Help
Another year has dawned with renewed hope and expectations, but physicians continue to contemplate the many challenges facing them. From EHR data entry, quality measures, and changing reimbursement...
What Are the ICD-10 Diagnosis Codes for Documenting Eating Disorders
Eating disorders are serious mental health conditions that affect eating behaviors and overall well-being. According to the National Association of Anorexia Nervosa and Associated Disorders (ANAD)...