In dental practices, insurance verification sets the stage for efficient revenue cycle management. According to a Dentistry IQ article, dental insurance checks make up approximately 50% of practice income. However, verifying dental insurance is a labor-intensive and...
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Documenting Tonsillitis with Specific ICD-10 Medical Codes
Tonsillitis is inflammation of the tonsils most commonly caused by a viral or bacterial infection. Health professionals who treat this condition include pediatrician, family medicine physician,...
Steer Clear of Audit Risks with Proper E/M Documentation
Many physicians outsource revenue cycle management to medical billing companies to enhance cash flow and reduce costs. However, accurate documentation of the patient encounter is necessary to...
Influenza Vaccine Coding in 2017 – Key Points to Note
The goal of immunization providers is to ensure that vaccines reach all people who need them. Accurate vaccine coding increases opportunities for enhanced/appropriate reimbursement, reduces audit...
Veteran Health Care in 2017 – Key Possibilities and Predictions
Legislation passed in 2014 allowed military veterans with access to physicians outside Veteran Administration (VA) facilities, including community based family practitioners. Family physicians who...
New 2017 Moderate Sedation CPT Codes to Impact Reimbursement across Multiple Specialties
CPT coding changes for moderate sedation (MS) in 2017 will impact reimbursement across various specialties. Outsourced medical billing companies are prepared for these changes that have created new...
ICD-10 Glitch – What Physicians Should Know
Physician coding companies played a key role in helping healthcare providers across the nation transition to ICD-10. Now recent reports say that there is a glitch in ICD-10, which CMS points out...
Top Challenges Physicians Could Face in 2017
Medical billing and coding changes happen every year. With the change in U.S. presidency from Barack Obama to Donald Trump, big changes are expected in the healthcare industry this year. According...
Learn the Nuances of Medical Billing and Coding for Stroke
The leading cause of death and long-term disability in the U.S., stroke causes loss of neurological function due to a blood clot in the brain or intracranial hemorrhage. One of the most common...
U.S. ICD-10 Market Trends 2016-2026
ICD-10 was launched in October 2015 by the World Health Organization (WHO). ICD-10-CM is the United States' clinical modification of the WHO's ICD-10. ICD-10 features a much larger number of...
Primary Care – Strategies to Improve Reimbursement in the Value-based Care System
Many changes have affected primary care physicians (PCPs) in recent times. These include the shift to value-based care from the fee-for-service payment model, new regulatory requirements, the rise...