The National Institutes of Health (NIH) concluded that over 20% of Americans (57.8 million) live with some form of mental illness. Treatments include various forms of psychotherapy, medications, psychosocial interventions and other modalities such as electroconvulsive...
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New Epidural Injection Codes to Improve Pain Management Reimbursement in 2017
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...
Maximize Reimbursement for Care Coordination Services
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...
Avoid the Perils of Undercoding with Medical Billing Services
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...
Medicare’s New Health Insurance Market Place Rules – Impact on Risk Adjustment/HCC Coding
The Centers for Medicare and Medicare (CMS) has released new health insurance market place rules which will take effect from January 17, 2017. Referred to as the “payment notice,” the rule is an...
Dental Billing Fraud and Abuse – Know the Facts
Dental practices are under increasing scrutiny by Medicare, commercial insurance companies and regulatory bodies after recent reports of dental billing fraud and abuse. While partnering with a...
Many Patients may be Underinsured – Medical Eligibility Verification is Crucial
The Affordable Care Act (ACA) improved Americans’ access to healthcare, but a recent report in the New York Times highlights the fact that many people may be still underinsured. This makes medical...
Natural Language Processing Unveils HCC Coding and Reimbursement Opportunities
Utilizing Natural Language Processing (NLP) based technology and big data analytics, the University of Pittsburgh Medical Center (UPMC) health plan has successfully processed millions of clinical...
Can ICD-10 Medical Codes Help Chiropractors Document Winter Vehicle Accidents?
ICD-10 medical coding includes documenting a range of external causes for injury, and you may need to use these specific codes especially during the winter season. Driving during winter months is...
Documenting and Coding Behavior Change Interventions – Smoking Cessation
Behavior change interventions are crucial to address lifestyle modification for disease prevention, long-term disease management and addiction. Every year usually brings important changes in family...
Shoulder Surgery Coding and Billing – Points to Note
In addition to staying updated on coding changes and billing rules, certified coders in orthopedic medical billing and coding companies have a strong background in anatomy, physiology, related...