Reporting of pathology procedures and clinical lab tests witnessed several changes starting October 1, 2016. Medical coding outsourcing is widely recognized as a practical strategy to help pathology labs maximize reimbursement, avoid denials, and stay compliant with...
Documentation plays a key role in communicating to third-party payers that the evaluation and treatment services provided were medically necessary. While emergency room (ER) physicians should know that there are specific guidelines must be followed in medical...
Vascular surgeons perform a comprehensive range of procedures and the adoption of new endovascular techniques has led to reduced hospital stays. Under Medicare’s value-based program, health care providers are rewarded with incentive payments for the quality of care...
Compared to other medical specialties, pain management practices face certain unique challenges related to increased state and federal regulations. This has brought about changes in coding and payer reimbursement policies, increasing the relevance of efficient pain...
Costly chronic conditions of ICD-10-CM have been classified by CMS into Hierarchical Conditional Categories (HCCs). Patients with HCC conditions require more resources and disease intervention. The Risk Adjustment process identifies patients who are more costly to...