Prolonged services are direct (face-to-face) services provided by a physician or other qualified health professionals that require unit/floor time beyond the usual services in either the inpatient or outpatient setting. A major change in the CY2023 Final Rule that has...
Medical Coding
Coding and Documenting Malnutrition in Elderly Patients
As people age, the body's ability to absorb food diminishes. Morbidity and medication use can also affect nutrition status, leading to poor health in older adults. Physicians who care for the...
Medical Coding Pearls that can Optimize Reimbursement
Payer requests, denials, the influence of ICD-10 codes, and audit risks are some of the issues that physician practices have to deal with while providing value based care. Physicians should focus on...
Papaya-linked Salmonella Outbreak hits Several States
Foodborne illnesses or food poisoning is usually caused by eating raw or uncooked food. According to the Centers for Disease Control and Prevention (CDC), one in six Americans will be affected by...
Learn About Warts – Types, Documentation with ICD-10 Codes
Warts are a form of lesion or skin growth most often caused by the human papillomavirus (HPV). Some warts are bacterial, rather than viral. Dermatology medical billing involves documenting diverse...
Coding for HIV and AIDS in ICD-10 – Important Clarifications
This update replaces our September 16, 2015 blog "Medical Coding for HIV Screening and Diagnosis". Human Immunodeficiency Virus (HIV), is a retrovirus that wipe outs the immune system, hindering the...
What are Anesthesia and HCPCS Modifiers and When to Use Them
Understanding the use of anesthesia and HCPCS modifiers is critical to communicate specific information to payers about the procedure or service provided. Expert coders in medical coding companies...
Eating Disorders – Document Them Accurately with ICD-10 Codes
Eating disorders refer to illnesses that are characterized by irregular eating habits and severe distress or concern about body weight or shape. Eating disorders include Anorexia Nervosa, Bulimia...
What are Medical Coding Modifiers? Examples of CPT Modifiers and When to Use Them
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...
Hepatitis B Screening – the Latest Coding and Billing Updates
The Hepatitis B virus (HBV) and the Hepatitis C virus (HCV) are the two main viruses that cause chronic liver disease. Physicians with treating hepatitis B, such as infectious disease specialists,...