Every practice deals with claim denials and ‘duplicate service’ is a common reason for denial. When a claim submitted by a medical coding company is denied as a duplicate service, it indicates that...
What Are CPT Code Modifiers? How Are They Used?
Utilizing the right medical modifiers are a crucial part of the medical billing process. Knowing how to use CPT code modifiers correctly helps drive proper reimbursement. These two-character...
New PCM Codes For Medical Billing & Coding Services In 2022
The Principal Care Management (PCM) service was created by the Centers for Medicare and Medicaid Services (CMS) in 2020. The aim of the program was to allow for provision of additional care to...
How to Use CPT Code 99211 for an Office Visit
With the ever-changing complexities around claims management and processing, most practices and physicians rely on medical coding and billing service providers to report services correctly and...
How To Code And Bill Mental Health Services
As is the case in many countries across the world, the prevalence of mental health disorders in the U.S. has been rising over the years. According to Mental Health America, in 2017-2018, 19% of...
What Is The Difference Between Inpatient And Outpatient Coding?
Medical coding is the first stage in the medical billing process. It involves assigning standardized codes to diagnoses and medical procedures. One of the main challenges for healthcare...
How To Code And Bill A Sports Physical
The "sports physical," also referred to as a “preparticipation physical evaluation" is a type of physical exam that focuses on identifying conditions that may prevent an athlete from safely...
HCC Coding: Best Practices To Implement In MA Organizations
Medicare is federal health insurance provided to people age 65 or older, younger people with disabilities, and people with end-stage renal disease, or amyotrophic lateral sclerosi (ALS). Medicare...
What Is TAVR And How To Code For TAVR Procedure?
Regarded as a common, minimally-invasive heart procedure, Transcatheter Aortic Valve Replacement (TAVR) is a procedure to replace a narrowed aortic valve of the heart through the blood vessels. Also...