Healthcare providers face different types of medical record audits and with the changing focus and increasing expectations of payers, advanced preparation is crucial for success. Audits can be conducted to verify general compliance or they can be prompted by actual...
Articles
ICD-10-CM Coding for Hypertensive Heart Disease and Related Conditions
Hypertensive heart disease, the main cause of death associated with hypertension or high blood pressure, refers to heart failure, coronary artery disease, and enlargement of the heart. Compared to the ICD-9-CM code for hypertensive heart disease (402.90), ICD-10-CM...
Medical Coding for Transitional Care Management Services – Provider – Patient Requirements
TCM or Transitional Care Management services are provided to enable patients to transition successfully from a hospital stay back to a community setting. They are provided for an established or new patient whose medical and/or psychosocial problems necessitate...
2016 HCPCS Coding Corrections
The Centers for Medicare and Medicaid Services (CMS) has released few corrections to the 2016 HCPCS Level II code set. Though the updates were released late, the changes are effective from Jan 1, 2016. HCPCS was developed by the Centers for Medicare and Medicaid (CMS)...
Medicare Part B Now Covers Really Expensive Drugs
Medical billing responsibilities have become more extensive, with more medicines being covered by Medicare. Medicare Part B Patients would be glad to know that Medicare Part B now covers some pretty expensive drugs. Medicare Part B usually covers outpatient services...
CPT/HCPCS Coding for Radiology Practices in 2015
Radiology practices and radiology coding companies looking for maximum revenue in 2015 are required to understand the new CPT/HCPCS coding updates in radiology medical coding and their impact on reimbursements. The key changes include bundling of two codes into one...
ICD-10-CM – Overview, Significance and Top Diagnostic Codes
As the ICD-10 medical coding system officially went live on October 1, all HIPAA covered healthcare settings are required to replace ICD-9-CM codes with ICD-10-CM codes on their claims (date of service from October 1). This significant replacement will have a serious...
CMS Proposes Significant Changes to Two-Midnight Rule for 2016
This July, the Centers for Medicare and Medicaid Services (CMS) issued the 2016 Proposed Rule for the Medicare Program covering Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient...
Myocardial Infarctions – ICD-10 Medical Coding and Documentation
Myocardial infarction (MI) refers to heart attack, which occurs when a portion of the heart is deprived of oxygen as a result of the blockage of a coronary artery. The most common cause for this heart attack is occlusive intracoronary thrombus, a substance called...
Physicians Getting Prepared for the New ICD-10 Medical Coding System
The ICD-10 medical coding is getting implemented today and implementation date is here and now there is no way of avoiding it. From today on physicians and hospitals across the country will have to start using the new medical coding system to describe patient visits...