Medical, surgical, and diagnostic procedures and services are described by Category I CPT codes using five-digit numerical sequences. Category II CPT codes provide additional information to Category...
Clinical Documentation Integrity Crucial to Optimize HCC Coding and Reimbursement
Changing regulations and reimbursement methodologies such as risk-adjusted and value-based models has put the focus on risk adjustment and hierarchical condition coding or HCC coding. Risk...
Report: U.S. Healthcare Revenue Cycle Management Industry to Exceed USD 38 Billion by 2024
Medical billing and coding companies use the latest technologies to develop and implement processes and policies to help physician practices and hospitals stay financially healthy as they treat...
Top Reasons for Claims Denials Post ICD-10 Grace Period and Tips to Tackle Them
Healthcare providers and medical coding companies had a one-year grace period for ICD-10-coded medical claims. According to a recent report in Physicians Practice, claims statistics showed...
Documenting Tonsillitis with Specific ICD-10 Medical Codes
Tonsillitis is inflammation of the tonsils most commonly caused by a viral or bacterial infection. Health professionals who treat this condition include pediatrician, family medicine physician,...
Influenza Vaccine Coding in 2017 – Key Points to Note
The goal of immunization providers is to ensure that vaccines reach all people who need them. Accurate vaccine coding increases opportunities for enhanced/appropriate reimbursement, reduces audit...
New 2017 Moderate Sedation CPT Codes to Impact Reimbursement across Multiple Specialties
CPT coding changes for moderate sedation (MS) in 2017 will impact reimbursement across various specialties. Outsourced medical billing companies are prepared for these changes that have created new...
Learn the Nuances of Medical Billing and Coding for Stroke
The leading cause of death and long-term disability in the U.S., stroke causes loss of neurological function due to a blood clot in the brain or intracranial hemorrhage. One of the most common...
Medicare’s New Health Insurance Market Place Rules – Impact on Risk Adjustment/HCC Coding
The Centers for Medicare and Medicare (CMS) has released new health insurance market place rules which will take effect from January 17, 2017. Referred to as the “payment notice,” the rule is an...