The Medicare risk adjusted payment model is one of the major changes that have impacted physician practice revenue since it was introduced. The Centers for Medicare & Medicaid Services (CMS) uses the HCC (Hierarchical Condition Category) risk stratification...
Get Familiar with the Commonly Used ICD-10 Codes for Chiropractic Care
Chiropractic medical billing involves error-free coding of diagnostic procedures with the correct ICD-10 codes. A chiropractor’s first goal is to find out what is wrong and to make a diagnosis. The diagnosis helps to determine which type of treatment you need and what...
Why Physicians Need to Pay Special Attention to MRA Coding
Medicare Risk Adjustment (MRA) is a payment methodology that is used to adjust Medicare health plan payments based on the health status and demographic characteristics of the beneficiary. For physicians, accurate MRA coding and documentation is necessary for...
Documentation Requirements for Billing of Chiropractic Manipulation Codes
Outsourced chiropractic billing services are essential to ensure all aspects of the billing are taken care of. Documentation skills and experience are needed for efficient medical billing and coding. Supporting documentation proves the need for the treatment being...
Resolve the Challenges of Meeting HEDIS Compliance
What is HEDIS? Measuring the quality of patient care delivered has become paramount and edged out the former fee-for-service payment system. The Healthcare Effectiveness Data Information Set (HEDIS) is a tool developed by the National Committee on Quality Assurance...
Understanding Enthesopathy ICD-10 CM Coding
With ICD-10 codes, the need for outsourcing medical coding has become more important. The extensiveness of ICD-10 has made coding more confusing and laborious for physicians and practices. With EHR data entry also on the minds of doctors, they just have too much to...
Medicare Payment Model Brings Orthopedics Medical Coding Challenges
Medicare has begun testing its bundled payment model for hip and knee replacement in 67 metropolitan areas across the nation. This will make orthopedics medical coding even more challenging for hospitals and orthopedic practices. Hip and knee replacements are the most...
How to Ensure Efficient Dental Insurance Verification and Claim Submission
Dental insurance verification is the important first step in your dental medical billing cycle to ensure that the dental services you offer are paid. Almost 75% of dental insurance claims have issues with reimbursement due to insurance eligibility being incorrectly...
CMS Releases Guidelines on Tracking ICD-10 Implementation
Hospitals and medical practices across the country have migrated to ICD-10 medical coding and CMS recently released an infographic to help healthcare providers monitor their progress. In this update, CMS reiterates that providers need to assess their ICD-10...
Using HCC Coding for Greater Reimbursement
HCC coding is important for health practices to increase their reimbursement opportunities. Outsourcing to a professional medical billing and coding company could ensure that the coding is accurate and claims are submitted in a timely manner. Making the Most of the...