Precertification, or insurance prior authorization, is the process of seeking approval from the patient’s health care plan before moving forward with the treatment. In the complex world of healthcare insurance, navigating the intricacies of prior authorization denials...
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Reporting Pyogenic Granuloma – Medical Coding and Documentation Essentials
Pyogenic granuloma, also known as lobular capillary hemangioma or granuloma telangiectaticum, is listed by WHO under the range Diseases of the Skin and Sub-cutaneous Tissue. These are small, round,...
Billing and Coding Periodontal Scaling and Root Planing
Dental plaque and tartar are common dental problems that occur when saliva, food, and fluids combine to form bacteria deposits where the teeth and gums meet. The build-up of plaque and tartar can...
How to Code for Chronic Kidney Disease (CKD)
Regarded as a leading cause of death in the United States, chronic kidney disease (CKD) involves a slow and progressive loss of kidney function over several years. Also called chronic kidney failure...
Best Practices to Assign ICD-10 codes & Modifiers for Pain Management
As complexities in billing and coding pain management are increasing each year, it is important for practices to focus more on documentation as well as carefully handle pain management billing and...
Medical Coding for Lymphedema – A Common Vascular Disease
Lymphedema, a common vascular condition, occurs when excess protein-rich fluids (called lymph) circulates and get accumulated within tissues in the lymphatic system causing swelling (edema). Any...
Coding Thanksgiving Accidents
OSI wishes everyone a safe and happy thanksgiving day 2022! Thanksgiving is a wonderful day when loved ones get together to share thanks for the blessings in their lives. However, it is also a day...
Glossary of Dental Insurance Verification Terms
Dental insurance verification is the first step in the dental billing process and it plays a key role in determining whether a patient is covered for a particular treatment or not. Verification...
Changes in Emergency Department E/M Coding in 2023
Evaluation and management (E/M) CPT codes are reported on insurance claims by a wide range of specialties to obtain payment for services performed in the office or other outpatient setting. Medical...
How to Code Cardiomyopathy – A Common Cardiac Condition
A chronic, lifelong condition, cardiomyopathy refers to a progressive disease of the myocardium or heart muscle that makes it harder for the heart to pump blood to the rest of the body. The...
Medical Coding for Atrial Fibrillation – An Irregular Heart Rhythm Disorder
Atrial fibrillation (often called AFib or AF) refers to an irregular heart rhythm that occurs when the heart beats too slowly, too fast, or in an irregular way. Regarded as the most common clinical...