Prolonged services are direct (face-to-face) services provided by a physician or other qualified health professionals that require unit/floor time beyond the usual services in either the inpatient or outpatient setting. A major change in the CY2023 Final Rule that has...
Pneumonia is a common lung infection caused by bacteria, viruses, or fungi. It leads to inflammation in the lungs, which fill with fluid or pus, with symptoms such as cough with phlegm, fever, chills, and difficulty breathing. The severity of pneumonia can vary from...
Accurate diagnosis coding for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is essential for proper clinical documentation, data tracking, and reimbursement. Originally, ME/CFS was often coded using nonspecific fatigue-related codes, leading to...
The Medicare Physician Fee Schedule (PFS) final rule released annually by the Centers for Medicare and Medicaid (CMS) updates the standards for physician reimbursement and policies related to health care services. While these updates address Medicare medical billing...
Liver diseases can occur due to a several factors like infections, immune system disorders, drug overdose and alcohol abuse. Problems of the liver can be either inherited or genetic. Inherited liver diseases are a group of metabolic and genetic defects that...
