Head injury is a matter of serious concern that requires medical attention. A person suffering even a minor head injury may not experience any specific issues in the beginning, but internal bleeding can occur over time, causing serious consequences like brain damage...
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...
Emergency department (ED) visits identified by CPT code 99285 require three key components: comprehensive history, comprehensive examination, and medical decision making of moderate complexity....
Billing for vaccine administration is challenging and explains why many providers choose medical billing and coding outsourcing. There are different codes for Medicare and private insurance...
The Centers for Medicare and Medicaid (CMS) conduct Risk Adjustment Data Validation (RADV) audits to recover improper payments under Medicare Part C or Medicare Advantage (MA) plans. In risk...
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...
Every physician knows the consequence of using a wrong diagnostic code – it will not only affect reimbursement, but more importantly, also jeopardize patient care. Medical coding outsourcing helps...
Parkinson's disease (PD) is a chronic and progressive disorder of the nervous system. Genetic factors and environmental triggers are believed to cause the condition and there is no cure for it....
The Medicare risk adjusted payment model is one of the major changes that have impacted physician practice revenue since it was introduced. The Centers for Medicare & Medicaid Services (CMS)...
Medicare Risk Adjustment (MRA) is a payment methodology that is used to adjust Medicare health plan payments based on the health status and demographic characteristics of the beneficiary. For...
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)...