Getting proper reimbursement for unlisted procedures is not that easy and you have to follow certain steps to increase the chances of reimbursement. A proper insurance verification is the first step you need to take. If the insurance carrier considers the service you...
According to the Centers of Medicare and Medicaid Services (CMS), A Medicare overpayment is defined as a payment received that is in excess of the amount actually payable under Medicare regulations. When Medicare identifies an overpayment, the amount that is overpaid...
The Centers for Medicare and Medicaid Services has made a significant change in the reporting of modifier -59, which will have considerable impact on medical coding in 2015. A new set of specific HCPCS modifiers has been introduced to selectively identify subsets of...
Epilepsy (also referred to as “fits”) is a serious neurological disorder in which the central nerve cells in the brain work abnormally causing seizures. According to 2014 statistics, approximately 2.2 million people have this condition in the United States. It...
With the latest deferment of ICD-10 codes implementation to October 1, 2015, healthcare facilities and systems have additional time for the adoption of the new system. There must be a good strategy to retain and encourage the coders, as money has been invested for the...