Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology practice treats a long-time patient for a routine follow-up and diagnostic...
Of the different fracture treatment methods such as closed reduction and percutaneous fixation an orthopedic physician provides, closed treatment without manipulation involves fitting the patient to...
According to a March 2018 report from the Office of Inspector General (OIG), many Medicare claims for outpatient physical therapy (PT) services did not comply with Medicare requirements. The study’s...
Those interested in sports will be quite familiar with the term "Patellar tendonitis". Also referred to as "jumper's knee", it is a knee injury affecting the patella tendon. It is common in...
Pneumonitis is a general term that refers to inflammation of lung tissue. Also referred to as hypersensitivity pneumonitis, this disorder is caused when a person has an allergic reaction in their...
The shift from fee-for-service to fee-for-value has changed the way physicians provide care, bill for services, and get reimbursed. As three out of four Americans are living with multiple chronic...
The 2018 Medicare final regulations, code updates, and other changes have impacted many healthcare specialties. As of January 1, 2018, there are new codes, revised codes, and updates to coding...
Healthcare revenue cycle management (RCM) plays a key role in the smooth administration of hospitals and other medical settings. Data redundancies and errors that can occur from manual processes can...
A hypertensive crisis occurs when the blood pressure rises quickly and severely with readings of 180/120 or greater. This condition affects more than 500,000 Americans each year, or approximately 1%...
Clinical documentation improvement (CDI) is getting more important than ever and plays a key role in patient care as well as reimbursement for any specialty, including Orthopedics. Medical coding...
One E/M documentation challenge that medical coding outsourcing companies face is related to helping physicians report a preventive visit that becomes problem-oriented during the encounter. This is...
