As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although most health insurance plans cover mental health and substance abuse...
Medical Billing
Medical Coding Errors led Insurer to Deny State-Mandated Contraceptive Coverage
Medical coders in reliable medical billing and coding companies are well aware of the codes to be used when reporting insertion and removal contraceptive implant and intrauterine devices (IUDs)....
Chiropractic Medical Billing for Medicare Claims-Key Points to Note
Today, an increasingly large number of chiropractors are choosing to outsource their billing and coding tasks. Experienced medical billing companies provide chiropractic billing services to ensure...
Medical Coding and Billing for Advance Care Planning
According to the Population Reference Bureau, the number of Americans ages 65 and older would more than double from 46 million in 2016 to over 98 million by 2060, and the share of the 65 plus age...
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...
Primary Care – Strategies to Improve Reimbursement in the Value-based Care System
Many changes have affected primary care physicians (PCPs) in recent times. These include the shift to value-based care from the fee-for-service payment model, new regulatory requirements, the rise...
Maximize Reimbursement for Care Coordination Services
Though physicians spend a lot of time counseling patients, they usually tend to overlook the reimbursement opportunity for this service. According to CPT guidelines, medical billing and coding for...
Avoid the Perils of Undercoding with Medical Billing Services
Undercoding is as much a problem as overcoding and occurs when the CPT and HCPCS codes billed do not indicate the full scope of the work performed by the physician or facility. In addition to lost...
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...
Shoulder Surgery Coding and Billing – Points to Note
In addition to staying updated on coding changes and billing rules, certified coders in orthopedic medical billing and coding companies have a strong background in anatomy, physiology, related...
Learn the Facts about Modifier 57
Coding experts in established medical coding companies are well-versed in the use of various modifiers to comply with industry guidelines. Simple two-character designators that indicate how the code...