Healthcare is one of the industries that experienced the most upheavals in 2020. The COVID-19 pandemic has thrown up urgent needs and new challenges for revenue cycle management (RCM), which will make reliable medical billing and coding services all the more...
Healthcare News
Top Challenges Physicians Could Face in 2017
Medical billing and coding changes happen every year. With the change in U.S. presidency from Barack Obama to Donald Trump, big changes are expected in the healthcare industry this year. According...
Obamacare 2017 – Is Your Medical Practice Ready for the Changes?
For medical practices, insurance verification means knowing about their patients’ coverage in order to be able to bill for the services provided to them. For consumers, the current concern is how...
CT Colonography included in 2017 HEDIS Quality Measures
With the National Committee for Quality Assurance (NCQA) proposing several new Healthcare Effectiveness Data and Information Set (HEDIS) quality measures in 2017, payers and physicians need to focus...
When is Nurse-led Hospital Discharge Valid?
A complex process, discharging patients from the hospital comes with many challenges, including liability risks. Nurse-led discharge, however, has gained wide acceptance in many developed countries...
Clinical Documentation and Coding for Attention Deficit Hyperactivity Disorder (ADHD)
Medical coding services provide a great assistance for physicians dealing with complex psychic disorders. Attention deficit hyperactivity disorder (ADHD or ADD) is one of the most common childhood...
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...
CDC Reports Significant Decline in Newly Diagnosed Diabetes Cases
As per a new report released by the Centers for Disease Control and Prevention (CDC), new cases of diabetes are on the decline. If the number of new cases of diabetes among the US population aged 18...
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...
Preventing Medicare Claim Denials for CT Scans
Computed Tomography (CT) scans and services are crucial when it comes to radiology billing for Medicare. During the 2014 reporting period for the Comprehensive Error Rate Testing (CERT) program, it...
Common Types of Medicare Part B Claim Denials
Medicare Part B covers two types of services - medically necessary services and preventive services. While Part A focuses on emergency services, Part B covers day-to-day medical needs and this is...