When it comes to psychiatry medical billing, addiction to any drugs can be documented using ICD-10 codes. While these drugs are necessary to treat psychiatric conditions, the sad truth is that they...
Ensure Proper Medical Record Documentation for Risk Adjustment Data Validation (RADV) Compliance
Medicare adjusts payments to Medicare Advantage (MA) organizations for cost variations in providing health care to beneficiaries based on various risk factors, including health status. The goal of...
Real-Time Electronic Prescription Prior Authorization on the Cards
Insurance verification and authorization is the first and probably most important step in the medical billing process. Patient eligibility verification involves checking out the patient’s coverage...
Physician Practice Setting can Improve Reimbursement for Respiratory Therapists
Pulmonary rehabilitation is a multidisciplinary program meant for patients with chronic respiratory conditions, especially for those with chronic obstructive pulmonary disease (COPD). Physicians...
Coding ‘Episode of Care’ – The 7th Character in ICD-10-CM
There are several differences between the format of ICD-9 and ICD-10 coding and this has brought about new medical billing and coding challenges. One of these is the need to assign the 7th character...
Medical Coding for Glaucoma Under ICD-10-CM – Key Considerations
A common eye condition that can cause permanent blindness, glaucoma is estimated to affect over 3 million Americans. According to the Center for Disease Control and Prevention/National Center for...
Professional HCC Coding Services to Maximize Medical Practice Revenue
One of the significant developments that have impacted Medicare Advantage (MA) plans during the past decade is HCC (Hierarchical Condition Categories) coding. Medicare has used the HCC coding model...
Medical Coding for Radiology – ICD-10 Challenges
The transition to ICD-10 that took effect in October 2015 is progressing. Physician practices are submitting claims with the new codes quite successfully and getting reimbursed by insurers, many...
Resolve the Challenges of Meeting HEDIS Compliance
What is HEDIS? Measuring the quality of patient care delivered has become paramount and edged out the former fee-for-service payment system. The Healthcare Effectiveness Data Information Set (HEDIS)...