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...
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%...
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...
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...
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...
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...
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)...
According to a study in Health Affairs, patients reported that they did not get the dental care they needed because of cost, fear, inconvenient locations or appointment times, and trouble finding a...
As a medical coding company providing ophthalmology medical coding services, we are well aware that one of the most significant changes in 2017 was the introduction of CPT code 92242. 92242...
More than 660,000 Americans have kidney failure, according to the National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK). People with CKD face a very high risk of...
People seem to go overboard during the holidays with all kinds of over-indulgences. Physicians have to deal with complaints associated with everything from overeating, binge drinking and dancing the...
