Pain management involves a wide range of procedures, interventions, and medications, each requiring specific coding. Successful claim submission requires in-depth knowledge of medical terminology, CPT, ICD-10, and HCPCS coding guidelines, and payer-specific policies....
One of the significant developments that have impacted Medicare Advantage (MA) plans during the past decade is HCC (Hierarchical Condition Categories) coding. Medicare has used the HCC coding model...
Every physician knows the consequence of using a wrong diagnostic code – it will not only affect reimbursement, but more importantly, also jeopardize patient care. Medical coding outsourcing helps...
The transition to ICD-10 that took effect in October 2015 is progressing. Physician practices are submitting claims with the new codes quite successfully and getting reimbursed by insurers, many...
General surgery medical billing and coding is quite complex. When a surgeon performs an operation, it may entail more than what was planned, in which case modifier 22 increased procedural services...
Parkinson’s disease (PD) is a chronic and progressive neurodegenerative disorder that primarily affects the dopamine-producing neurons in a specific area of the brain. Scientists believe that the...
With value-based care, patient eligibility verification and insurance authorization have become key factors to reckon with in medical practice management. In fact, ineligibility and failure to get...
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)...
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...
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...
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...
