Medicare Part B (Medical Insurance) covers medically necessary durable medical equipment (DME). DME must be used for a medical reason, long-lasting, with an expected life time of at least 3 years....
Periodontal Care – Importance of Comprehensive Insurance Verification
The changes taking place in the health industry have also affected dental care. Dental practices need to be alert to verifying dental insurance verification, benefits and predeterminations before...
New ICD-10 Lab Test Codes Increase Complexity
The need for medical coding outsourcing is increasingly being felt by all kinds of healthcare practices, because of the new ICD-10 codes that seem to add further complexity to the already tricky...
ICD-10 Coding for Hip Fractures
Fractures of the proximal femur, commonly referred to as hip fractures, are common among elderly patients with osteoporosis. While many of these fractures are both clinically and radiologically...
Resolving Challenges with ICD-10 Orthopedic Injury Coding
Though ICD-10 implementation is going smooth so far, there are still concerns associated with orthopedic medical coding, particularly injury coding. Unlike ICD-9 codes, ICD-10 codes demand much more...
How ICD-10 Impacts Chiropractic Coding
With massive expansion in the number of medical codes, ICD-10 provides chiropractors with more specific codes to report diagnosis more clearly and thereby reduce claim denials. It is estimated that...
Vertebral Fracture Coding in ICD-10-CM
As per the American Academy of Orthopedic Surgeons (AAOS), fractures that result from osteoporosis occur most often in the spine. They are almost twice as common as other osteoporosis related...
Happy Holidays! Document Holiday Injuries with ICD-10 Codes
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...
What is Prior Authorization? When is it Needed and Not?
There are certain services that require pre-certification, pre-notification or pre-authorization from the insurance company. You need to make sure whether a particular service requires...