Complete Revenue Cycle Management for
Medical & Dental Clinics, Practices and Hospitals
Legislation passed in 2014 allowed military veterans with access to physicians outside Veteran Administration (VA) facilities, including community based family practitioners. Family physicians who participate in Medicare are eligible to sign agreements with the VA to...
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 billing and workflow requirements in practices. As a consequence of...
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 occurred as a result of the changes in the ICD-CM (Clinical Modification)...
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 to a recent survey by Capital One Spark Business, cash flow and...
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 conditions that a physician coding company codes for is ischemic stroke or...
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 concepts and codes than its predecessors, and most healthcare providers rely...
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 of new models of care, and the merging of independent practices with...
Starting January 1, 2017, there are eight new epidural injection CPT codes which replace codes 62310-62311 and 62318-62319. When it comes to pain management billing, knowledge of the new codes and CPT instructions is crucial for compliance and appropriate and timely...
Though physicians spend a lot of time counseling patients, they usually tend to overlook the reimbursement opportunity for this service. According to CPT guidelines, medical billing and coding for evaluation and management (E&M) services revolves around 7...
Undercoding is as much a problem as overcoding and occurs when the CPT and HCPCS codes billed do not indicate the full scope of the work performed by the physician or facility. In addition to lost revenue, undercoding is likely to make you a target for audits....