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...
Common Types of Medicare Part B Claim Denials
Medicare Part B covers two types of services - medically necessary services and preventive services. While Part A focuses on emergency services, Part B covers day-to-day medical needs and this is...
Behavioral Health in ICD-10-CM – Features and Top Codes
Medical coding for mental and behavioral disorders in ICD-10-CM is different from that of ICD-9. Though some ICD-10 codes mirror ICD-9, there is expanded granularity for certain categories. More...
Cardiology Medical Billing – Prevent Overdiagnosis
For most physicians, arriving at a proper diagnosis is not an easy task as patients’ symptoms and associated disease conditions tend to evolve over time. Physicians are faced with a lot of...
ICD-10 Documentation and Coding for Bronchitis
Bronchitis refers to the inflammation of the bronchi and is mainly categorized as acute and chronic bronchitis. If viruses and bacterial infections are the major cause of acute bronchitis, cigarette...
Make Your ICD-10 Transition Smooth and Efficient with Medical Coding Services
Many healthcare organisations and small practices are facing difficulties such as escalating costs, fewer reimbursements etc in the transition to ICD-10. In-house medical billing and coding can be...
Using G-codes for Lower GI Endoscopy Procedures in 2015
Since the Centers for Medicare and Medicaid Services (CMS) delayed the implementation of the revaluation of lower GI endoscopy codes in the Medicare Physician Fee Schedule (MPFS) Final Rule for...
Squamous Cell Carcinoma – ICD-10-CM Coding Review for Medical Coding
Squamous cell carcinoma (SCC) is a most common type of skin cancer. The cancer begins in the sqamous cells, the tissue the forms the surface of the cells. This usually occur on the body areas...
ICD-10 Coding for Palliative Care
The transition to ICD-10 coding in 2015 will be crucial for palliative care units since a large portion of their reimbursement are diagnosis driven. Palliative care ensures early identification,...