The Centers for Medicare and Medicaid (CMS) conduct Risk Adjustment Data Validation (RADV) audits to recover improper payments under Medicare Part C or Medicare Advantage (MA) plans. In risk adjustment or Hierarchical Condition Categories (HCCs), the focus is on...
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...
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...
There are around 68,000 billing codes under the ICD-10 medical coding system compared to 13,000 codes under ICD-9. This massive expansion of diagnostic codes is intended to smooth billing processes and reduce the cost for the healthcare delivery system. However, the...