Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent, and there is always the risk that the request to the insurer to cover...
Medical, surgical, and diagnostic procedures and services are described by Category I CPT codes using five-digit numerical sequences. Category II CPT codes provide additional information to Category...
Changing regulations and reimbursement methodologies such as risk-adjusted and value-based models has put the focus on risk adjustment and hierarchical condition coding or HCC coding. Risk...
The Hepatitis B virus (HBV) and the Hepatitis C virus (HCV) are the two main viruses that cause chronic liver disease. Physicians with treating hepatitis B, such as infectious disease specialists,...
Knowing Local Coverage Determination (LCD) policies is crucial for appropriate reimbursement for trigger point injections. The CPT codes for injections into trigger points for myofascial pain...
Chiropractic medical billing is not just the use of the familiar CPT codes 98940, 98941 and 98942. The appropriate modifier that describes the services, Medicare or any specific insurance...
Most radiology practices and imaging centers choose to outsource medical billing and coding to stay up-to-date on all the regulations and individual payer changes. This allows them to submit claims...
Medical billing and coding companies use the latest technologies to develop and implement processes and policies to help physician practices and hospitals stay financially healthy as they treat...
As the complexity of the medical coding process increases with the transition to ICD-10 and annual CPT code updates, there is a need for revenue cycle management solutions that will promote accurate...
Medical coders in reliable medical billing and coding companies are well aware of the codes to be used when reporting insertion and removal contraceptive implant and intrauterine devices (IUDs)....
Healthcare providers and medical coding companies had a one-year grace period for ICD-10-coded medical claims. According to a recent report in Physicians Practice, claims statistics showed...
