Effective denial management in medical billing is crucial for ensuring timely reimbursements and minimizing financial disruption for both healthcare providers and patients. A denial occurs when a healthcare insurance company reviews a claim and refuses to provide...
Medical Coding
What are the Changes to Prolonged Services Coding in 2023?
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...
Radiology Coding Audit Tips
Radiology imaging volume has expanded considerably. Radiology coding is an essential element of routine workflow such as ordering tests, scheduling, billing, and image interpretation. With the wide...
How to Document and Code Arterial Embolization
Vascular surgery is performed using a traditional surgical approach and a minimally invasive catheter-based endovascular approach. Arterial embolization is a minimally-invasive procedure that blocks...
Medical Coding and Documentation Guidelines for Pneumonia
A leading cause of death among children and the elderly, pneumonia is an infection that can affect one or both lungs. Caused by bacteria, viruses, or fungi, this lung infection can inflame the air...
How do you Code and Bill for Subdural Hematoma?
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...
2023 Integumentary System CPT Code Changes and Guidelines
The 2023 CPT code set that came into effect on Jan. 1 includes 225 new codes, 75 deletions and 93 revisions. There are three new codes in the integumentary system section, one code revision, and one...
What are the Medicare Physician Payment Policies that will Impact Medical Billing in 2023?
The Medicare Physician Fee Schedule (PFS) final rule released annually by the Centers for Medicare and Medicaid (CMS) updates the standards for physician reimbursement and policies related to health...
What is Bundling and Unbundling in Medical Coding?
Medical coding is the conversion of healthcare diagnoses, procedures, medical services, and equipment into ICD-10, CPT, and HCPCS codes. Healthcare organizations need to use the appropriate medical...
Major Medical Coding Changes for Chiropratic in 2023
In 2023, chiropractors have to deal with several medical coding changes. The ICD-10 code changes that came into effect on Oct 1, 2022 comprise 1176 new codes, 28 revised codes and 287 deleted codes....
How to Code for Hemochromatosis, an Inherited Liver Disorder
Liver diseases can occur due to a several factors like infections, immune system disorders, drug overdose and alcohol abuse. Problems of the liver can be either inherited or genetic. Inherited liver...