Physical therapists (PTs) have an integral role in helping to diagnose and treat many common ailments and musculoskeletal disorders, and in providing postoperative care to patients who undergo hip...
Medicare Consult Denials – Key Clarifications
Starting January 1, 2010, Medicare stopped paying CPT procedure codes for consultation services CPT 99241-99245 - office or outpatient consultations and CPT 99251-99255 - inpatient initial...
“Pokemon Go” Injuries – Code it with ICD-10
Can a virtual-reality game played on mobile phone really cause physical injuries? Yes, “Pokemon Go” can. The craze for the game is resulting in more and more accidents. Using Google Maps, it creates...
Patient Ineligibility and Lack of Authorization Creating More Claim Denials
With value-based care, patient eligibility verification and insurance authorization have become key factors to reckon with in medical practice management. In fact, ineligibility and failure to get...
Why Physicians Need to Pay Special Attention to MRA Coding
Medicare Risk Adjustment (MRA) is a payment methodology that is used to adjust Medicare health plan payments based on the health status and demographic characteristics of the beneficiary. For...
Medicare Payment Model Brings Orthopedics Medical Coding Challenges
Medicare has begun testing its bundled payment model for hip and knee replacement in 67 metropolitan areas across the nation. This will make orthopedics medical coding even more challenging for...
Steps to Ensure Efficient Hospitalist Coding
Hospitalist coding needs to be accurate and efficient since it directly affects reimbursement for the integral services rendered by the hospitalist. The hospitalist is an integral part of the modern...
Psychiatry Coding and Documentation – What to Know
Mental health issues are vast and include: anxiety and panic disorders, depression, schizophrenia, personality disorder, narcolepsy, and other sleep disorders. Mental health services provided by...
Downcoding – Definition, Impact and Prevention Tips
The Comprehensive Error Rate Testing (CERT) program is conducted under the direction of the Centers for Medicare and Medicaid Services (CMS) to measure improper payment in the Medicare...