Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent, and there is always the risk that the request to the insurer to cover...
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ICD-10 Coding for Blepharitis – A Common Eye Disorder
Regarded as a common eye disorder, Blepharitis occurs due to inflammation of the eyelids. Also called lid margin disease, the condition normally affects both eyes along the edges of the eyelids....
Medical Coding without Definitive Diagnosis: Reporting Signs and Symptoms
Uncertain diagnosis is a common occurrence. Though medical diagnosis technology has developed rapidly, there are still situations where diseases cannot be clearly diagnosed. Uncertain diagnoses are...
ICD-10 Codes Used in Medical Billing for Osteomalacia – A Bone Weakening Condition
A bone-weakening condition, Osteomalacia refers to a condition in which new bone does not harden the way it should be forming. Also known as “bone softening”, the condition weakens bones and can...
What Are the New Codes for Proprietary Laboratory Analyses (PLA)?
Established by the American Medical Association (AMA) CPT® Editorial Panel, proprietary laboratory analyses PLA codes are alphanumeric CPT codes that provide corresponding descriptors for...
How to Code and Bill for Cluster Headache Syndrome
Cluster headaches, categorized under primary headache disorders, present in cyclical patterns characterized by intense attacks followed by periods of remission lasting months or even years....
5 Types Of Sleep Disorders and How to Code Them
Sleep disorder is a condition that impairs sleep and prevents you from getting sound sleep at night. It also causes daytime sleepiness as well as other symptoms. According to the American Sleep...
Why Thorough Documentation is Important for Accurate ICD-10 Coding
With the introduction of ICD-10 codes in 2015, physicians had to make major changes to documentation. What healthcare providers should keep in mind at all times is that it is documentation that gets...
Dental Insurance Verification: In-House vs. Outsourced
Insurance verification is a tedious and time-consuming task that requires concentration and patience to complete. Verifying patient’s coverage is the first step in the dental billing process and...
What Is Credentialing in Medical Billing?
Also referred to as physician credentialing, healthcare credentialing or insurance credentialing, credentialing is the process of obtaining, verifying, and assessing the qualifications of a medical...
Ambulatory Surgical Center Insurance Verifications – Getting it Right the First Time
The growth of ambulatory surgery centers (ASCs) is a positive trend. Technological advancements have made it possible for a wider range of procedures to be performed safely and efficiently on an...