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...
Learn the Latest Guidelines and Codes for Obstructive Sleep Apnea Testing
Obstructive sleep apnea (OSA) is a common condition treated by primary care physicians, sleep specialists, surgeons, dentists, mental health professionals, and ear, nose and throat physicians. This...
HCC Coding-Steps to Maximize Practice Reimbursement
Submitting claims with the right procedure and diagnosis codes is crucial for getting paid correctly. When it comes to Medicare Advantage (MA), payment depends on reporting care for patients with...
U.S. ICD-10 Market to Rise at an Outstanding CAGR By 2026
Medical coding with accurate ICD-10 codes is getting more and more relevant now. According to a recent report from Persistent Market Research, the USA International Classification Diseases 10...
Hernia Repair – Code it Right to Maximize Reimbursement
A hernia occurs when an organ or tissue pushes through a weakened area in the surrounding muscle or connective tissue (fascia). This abnormal protrusion can involve an empty sac or, if the defect is...
How to Document Correctly to Support Physical Therapy Evaluation Code Selection
Starting 2017, physical therapy medical coding involves three new evaluation codes and a new reevaluation code. The evaluation codes introduced by the final CMS physician fee schedule replace code...
Veteran Health Care in 2017 – Key Possibilities and Predictions
Legislation passed in 2014 allowed military veterans with access to physicians outside Veteran Administration (VA) facilities, including community based family practitioners. Family physicians who...
Primary Care – Strategies to Improve Reimbursement in the Value-based Care System
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...
Many Patients may be Underinsured – Medical Eligibility Verification is Crucial
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...