Revenue cycle management (RCM) in critical care comes with unique challenges that can lead to financial losses if not addressed properly. Critical care billing and coding rules and regulations regarding are complex and the process itself is tedious. The time spent on...
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ICD-10 Surgery Codes – Essentials for Appropriate Reimbursement
Today, most general surgery practices and departments of surgery rely on experienced medical billing and coding companies to ensure that claims get paid. However, accurate documentation of...
Learn the Facts about Modifier 57
Coding experts in established medical coding companies are well-versed in the use of various modifiers to comply with industry guidelines. Simple two-character designators that indicate how the code...
Some New Chiropractic ICD-10 Codes for 2017
The ICD-10 grace period ended on Oct 1, 2016 and chiropractors must now use ICD-10 codes that are considerably more specific than the ICD-9 codes. Reliable chiropractic medical billing and coding...
Digital Health Insurance Cards – a New Challenge for Medical Billing and Health Insurance Verification?
Different types of technological advancements are making their way into physicians’ practices and helping them manage their workflow better. Insurance eligibility verification got a makeover...
How to Establish Medical Necessity with Proper Medical Coding and Documentation
Medicare defines medical necessity as: “health-care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted...
Obamacare 2017 – Is Your Medical Practice Ready for the Changes?
For medical practices, insurance verification means knowing about their patients’ coverage in order to be able to bill for the services provided to them. For consumers, the current concern is how...
CT Colonography included in 2017 HEDIS Quality Measures
With the National Committee for Quality Assurance (NCQA) proposing several new Healthcare Effectiveness Data and Information Set (HEDIS) quality measures in 2017, payers and physicians need to focus...
When is Nurse-led Hospital Discharge Valid?
A complex process, discharging patients from the hospital comes with many challenges, including liability risks. Nurse-led discharge, however, has gained wide acceptance in many developed countries...
Improved Documentation for Drug-related Disorders with ICD-10 Medical Codes
When it comes to psychiatry medical billing, addiction to any drugs can be documented using ICD-10 codes. While these drugs are necessary to treat psychiatric conditions, the sad truth is that they...
Get Set for Physical Therapy Code Changes in 2017
Physical therapists (PTs) have an integral role in helping to diagnose and treat many common ailments and musculoskeletal disorders, and in providing postoperative care to patients who undergo hip...