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...
Using HCC Coding for Greater Reimbursement
HCC coding is important for health practices to increase their reimbursement opportunities. Outsourcing to a professional medical billing and coding company could ensure that the coding is accurate...
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...
ICD-10 Codes for Endocrine Disorders
Complete, clear and consistent documentation is crucial for on-time reimbursement. Just as any other specialty, endocrinologists’ reimbursement is based on the documentation in the medical record....
Implications of Medicare Payment Changes for Hip, Knee Surgery
Hip and knee replacements are considered to be the most common surgeries among Medicare beneficiaries and hence very significant in orthopedic medical billing. Even though there are some incentives...
ICD-10 Coding for Cervical Disc Disorders and Displacements
Cervical disc disorders and displacements are the other common conditions treated at orthopedic practices apart from fractures and injuries. With the implementation of ICD-10, practices require more...