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...
The International Classification of Diseases (ICD-10) code set undoubtedly made a tremendous impact on how documentation was handled by both physician’s office and the medical billing and coding companies. ICD-10 code set that contains 68,000 diagnosis codes and...
Ob-Gyn practices face many challenges relating to both practice and reimbursement. In addition to Meaningful Use and value-based reimbursement, 2017 has brought many changes in obstetrics and gynecology medical billing and coding. While medical billing and coding...
Many changes have affected primary care physicians (PCPs) in recent times. These include the shift to value-based care from the fee-for-service payment model, new regulatory requirements, the rise of new models of care, and the merging of independent practices with...
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....
