The Affordable Care Act (ACA) improved Americans’ access to healthcare, but a recent report in the New York Times highlights the fact that many people may be still underinsured. This makes medical eligibility verification all the more important for healthcare...
General surgery medical billing and coding is quite complex. When a surgeon performs an operation, it may entail more than what was planned, in which case modifier 22 increased procedural services may be applicable. Knowing how to code correctly for the surgical...
The holiday season is here. Stay safe this Holiday Season. Often more number of injuries, falls and hospital visits occur during holiday seasons. According to the report from the United States Consumer Product Safety Commission, more than 15,000 holiday-related...
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...
It is very important to remain vigilant while coding and billing for Fecal Microbiota Transplant (FMT) since private payers and Medicare pay for this procedure differently. This procedure may be considered medically necessary with three or more recurrences of...
