Though physicians spend a lot of time counseling patients, they usually tend to overlook the reimbursement opportunity for this service. According to CPT guidelines, medical billing and coding for evaluation and management (E&M) services revolves around 7...
Undercoding is as much a problem as overcoding and occurs when the CPT and HCPCS codes billed do not indicate the full scope of the work performed by the physician or facility. In addition to lost revenue, undercoding is likely to make you a target for audits....
A complex process, discharging patients from the hospital comes with many challenges, including liability risks. Nurse-led discharge, however, has gained wide acceptance in many developed countries as it has the potential to ensure that the patient receives the same...
The Affordable Care Act (ACA) encourages patients to be much more active participants in their own healthcare and learn about their covered medical services. Medicare beneficiaries now get coverage for an Annual Wellness Visit (AWV) – a yearly office visit that...
There are several differences between the format of ICD-9 and ICD-10 coding and this has brought about new medical billing and coding challenges. One of these is the need to assign the 7th character denoting episode of care to codes in certain categories of ICD-10....
