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...
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...
Costly chronic conditions of ICD-10-CM have been classified by CMS into Hierarchical Conditional Categories (HCCs). Patients with HCC conditions require more resources and disease intervention. The...
Obstructive sleep apnea (OSA) is a common condition treated by primary care physicians, sleep specialists, surgeons, dentists, mental health professionals, and ear, nose and throat physicians. This...
Today, an increasingly large number of chiropractors are choosing to outsource their billing and coding tasks. Experienced medical billing companies provide chiropractic billing services to ensure...
Submitting claims with the right procedure and diagnosis codes is crucial for getting paid correctly. When it comes to Medicare Advantage (MA), payment depends on reporting care for patients with...
Changes to health care regulations and policies have impacted the business of radiology quite significantly. Though efficient radiology medical billing and coding services are available, providers...
Hearing loss may be caused by caused by noise, aging, disease, and heredity. Trouble hearing has far-reaching impacts on social interaction, family connection, and workplace productivity. According...
The Centers for Medicate and Medicaid (CMS) developed the Hierarchical Condition Categories (HCC) to calculate risk scores and adjust capitation payments made for beneficiaries enrolled in Medicare...
Spine surgery is one of the most common procedures performed by spinal orthopedists and neurosurgeons. In 2017, these specialists and the medical billing and coding companies that serve them are...
Medical coding with accurate ICD-10 codes is getting more and more relevant now. According to a recent report from Persistent Market Research, the USA International Classification Diseases 10...
