Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that affects multiple organ systems and can present with a wide range of symptoms. For healthcare providers and medical coders, correctly reporting SLE using the appropriate ICD-10 codes is essential...
Medical Coding
5 Ways Medical Coding Accuracy Impacts Your Practice Revenue
Did you know? Medical coding errors alone are responsible for an eye-watering $36 billion-drain in the form of lost revenue, rejected claims and fines! That’s not pocket change, but a hard hit to...
Differentiating Between Upcoding and Downcoding in Medical Billing
Claim submission and denial management are the two steps that typically comprise the major portion of the medical billing workflow. While these steps are the key to obtaining proper reimbursements...
Anesthesia Modifiers and When to Use Them
Understanding anesthesia modifiers and HCPCS Level II modifiers is essential for accurate medical billing and coding. These two-digit codes provide critical information to payers about the...
Most Common CDT Coding Mistakes
A dentist’s clinical decisions guide the procedures performed, but accurate documentation using the correct CDT codes is crucial for proper claim submission and reimbursement. Every procedure must...
How to Code for Dermatomyositis – A Common Rheumatology Disorder
Regarded as a chronic inflammatory disease, dermatomyositis affects the muscles and skin. It can affect adults and children and is most commonly seen in females than males. Accurate and compliant...
ICD-10 Coding for Thrombophilia: Best Practices & Common Pitfalls
Thrombophilia is a medical condition that increases the risk of developing abnormal blood clots in the veins or arteries. Accurate ICD-10 coding for thrombophilia is crucial for proper...
How to Code Thrombophilia – A Common Vascular Condition
A common vascular disorder, Thrombophilia is a condition where the blood in the veins and arteries has an increased tendency to form clots. The condition refers to a hypercoagulable state - an...
How Outsourcing Medical Coding Drives Healthcare Revenue Integrity
In today’s competitive healthcare environment, financial stability is as critical as clinical excellence. Accurate medical coding is essential for proper reimbursement, compliance, and data...
Why CPT Modifiers Matter in Global Surgery
Surgeons are no strangers to the complexities of billing, but one small detail that can make a big difference in reimbursement is the correct use of CPT modifiers for global surgery. If you've ever...
Regulatory Changes in Medical Billing and Coding for 2025
As we end of the first quarter of 2025, we are already witnessing profound changes driven by a complex set of regulatory updates. The intricacies around medical coding/billing, and submitting a...