Preauthorization (P.A), also known as precertification, prior authorization, or prior approval is a mandatory process set by many insurance companies to determine whether the plan(s) cover the prescribed treatment, procedures, medication or equipment. This is to...
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How to Report and Code for Diabetes Insipidus
An uncommon disorder, diabetes insipidus causes an imbalance of fluids in the body that leads to the production of large amounts of urine. A normal person makes 1 to 3 quarts of urine a day....
What Chiropractors Should Know about Billing CPT Code 97140
Chiropractors use different types of joint and spine manipulations to help ease body pain. They provide manual therapy to manipulate and massage the spine, correct structural misalignments, and...
How to Code for Peripheral Artery Disease (PAD)
Peripheral artery disease (PAD) is a condition that affects the blood vessels outside the heart and brain. Also known as peripheral arterial disease or peripheral vascular disease, the condition...
Coding Kidney-related Illnesses
Kidney-related illnesses can interfere with the body's capacity to clean the blood, filter extra water out of blood, and regulate blood pressure. Any injury to your kidneys can lead to a build-up of...
How Do You Code and Bill for Craniotomy?
A craniotomy is the surgical removal of part of the bone (called a bone flap) - from the skull to access/expose the brain. The section of bone - called the bone flap - is removed using specialized...
Dental Billing Codes for Reporting Osseous Surgery
Gum disease is a common condition that dentists treat. It occurs when bacteria in the mouth infect tissue surrounding the tooth and cause inflammation around the tooth. Osseous surgery (also known...
Medical Codes for Reporting Common Skin Conditions
Skin diseases or disorders refer to conditions that affect the skin. These include all conditions that tend to clog, irritate or inflame the skin. Temporary or permanent, these conditions may cause...
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...