Pain management practices face several unique medical billing challenges. Accurate billing and coding is essential for proper reimbursement and compliance, but can be challenging due to the complexity and specificity of the treatments. Outsourcing pain management...
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...
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...
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...
The Affordable Care Act (ACA) encourages patients to be much more active participants in their own healthcare and learn about their covered medical services. Medicare beneficiaries now get coverage...
The American Dental Association (ADA) CDT describes Code D4381 - localized delivery of antimicrobial agents (LDAA) via a controlled release vehicle into diseased crevicular tissue, per tooth, as...
Medicare adjusts payments to Medicare Advantage (MA) organizations for cost variations in providing health care to beneficiaries based on various risk factors, including health status. The goal of...
Starting January 1, 2010, Medicare stopped paying CPT procedure codes for consultation services CPT 99241-99245 - office or outpatient consultations and CPT 99251-99255 - inpatient initial...
Insurance verification and authorization is the first and probably most important step in the medical billing process. Patient eligibility verification involves checking out the patient’s coverage...
CMS had granted healthcare providers, hospitals and medical coding companies a one-year grace period for ICD-10-coded medical claims. An ICD-10 coding flexibility policy was implemented last year...
Success in managing the revenue cycle depends on efficient handling of all the processes from patient enrollment and medical eligibility verification to medical coding and billing and payment...
