A chronic and painful condition, which is common among men of all age groups, prostatitis refers to swelling and inflammation of the prostate gland. Prostate gland is a walnut-sized gland situated...
Billing and Coding In Vitro Fertilization Treatment
In vitro fertilization (IVF), the most common type of assisted reproductive technology (ART), enables many couples for whom other infertility treatments have not worked, achieve a pregnancy. Medical...
Coding and Billing Telepsychiatry Encounters
With telehealth’s expansion during the COVID-19 pandemic to avoid the need to travel or congregate, CMS covers more than 80 additional services. Under the 2020 CARES Act signed into law on March 6,...
FY 2021 IPPS Proposed Rule: Prepare for Hundreds of Potential ICD-10 Code Changes and other Adjustments
The fiscal year (FY) 2021 Inpatient Prospective Payment Systems (IPPS) proposed rule released last month contains several notable proposals such as increase in hospital payment rates, MR-DRG...
Reporting Circadian Rhythm Sleep Disorder (CRSD) – Know the ICD-10 Codes
Circadian Rhythm Sleep Disorder (CRSD) refers to sleep problems in which a person’s internal sleep-wake cycle does not line up with the times in their schedule when they need to be asleep or awake....
CMS expands Coverage for Phone Assessment and Management Services
There’s good news for psychologists and other qualified healthcare professionals who provide phone consultations. During the COVID-19 public health emergency, the Centers for Medicaid and Medicare...
Ways to Improve HEDIS Reporting Efficiency
The Healthcare Effectiveness Data and Information Set (HEDIS) is a system maintained by the National Committee for Quality Assurance (NCQA) for evaluating the ability of health plans and providers...
Learn about Billing Medicare’s New Principal Care Management Codes
Medicare’s 2020 final rule includes several updates to payment policies, coding, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS). Keeping...
Reporting Hernia Repair and Complex Abdominal Wall Reconstruction
A hernia occurs when an organ or fatty tissues pushes through an abdominal opening. Surgery is performed to remove a hernia that grows larger or causes pain. Hernia repair is one of the most common...