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Maximize Reimbursement for Care Coordination Services

Maximize Reimbursement for Care Coordination Services

by Natalie Tornese | Posted: Jan 4, 2017 | Medical Billing

Though physicians spend a lot of time counseling patients, they usually tend to overlook the reimbursement opportunity for this service. According to CPT guidelines, medical billing and coding for evaluation and management (E&M) services revolves around 7...
Shoulder Surgery Coding and Billing – Points to Note

Shoulder Surgery Coding and Billing – Points to Note

by Natalie Tornese | Posted: Nov 21, 2016 | Last Updated: Nov 22, 2023 | Medical Billing

In addition to staying updated on coding changes and billing rules, certified coders in orthopedic medical billing and coding companies have a strong background in anatomy, physiology, related medical terminology, disease processes, and procedures for various body...
How to Establish Medical Necessity with Proper Medical Coding and Documentation

How to Establish Medical Necessity with Proper Medical Coding and Documentation

by Meghann Drella | Posted: Nov 7, 2016 | Medical Coding

Medicare defines medical necessity as: “health-care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.” Experienced coders in medical coding companies are...
Coding Post-operative Complications with ICD-10

Coding Post-operative Complications with ICD-10

by Meghann Drella | Posted: Aug 5, 2016 | Last Updated: Apr 28, 2025 | Medical Coding, Medical Billing

Postoperative complications significantly contribute to patient morbidity and mortality, prolonged hospital stays, and increased healthcare costs. These complications can be general or specific to the type of surgery performed. Accurate reporting of postoperative...
Clarifications on Reporting Non-urgent Services in the Emergency Department

Clarifications on Reporting Non-urgent Services in the Emergency Department

by Meghann Drella | Posted: Jul 20, 2016 | Medical Coding

Emergency department (ED) visits identified by CPT code 99285 require three key components: comprehensive history, comprehensive examination, and medical decision making of moderate complexity. However, a large proportion of all emergency department (ED) visits are...
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