The Healthcare Common Procedure Coding System (HCPCS) codes represent codes assigned to procedures, supplies, products and services provided to Medicare and Medicaid beneficiaries. HCPCS codes are also used by private health plans. Medical coding and medical billing...
Physician house calls are experiencing a resurgence mainly due to an aging population, improved technology allowing for diagnostic tests to be done in the home. Another factor that has contributed to this development is the growing recognition of the benefits of...
According to a March 2018 report from the Office of Inspector General (OIG), many Medicare claims for outpatient physical therapy (PT) services did not comply with Medicare requirements. The study’s findings are a wakeup call for physical therapists and medical...
GI/Endoscopy coding and billing can be complex. Providers need to determine medical necessity and the proper site for delivery of services, and know the specific codes and modifiers to bill for services rendered. Also, billing guidelines differ among insurance...
With the complex data sharing and reporting requirements of value-based payments and the Medicare Access and CHIP Reauthorization Act (MACRA), more and more physicians are opting to outsource medical billing. Outsourcing revenue cycle management (RCM) allows them to...
