Claim denials can be a major source of frustration and financial strain for healthcare providers, increasing the significance of reliable medical billing services. Reports indicate that denials are rising. In December 2023, Fierce Healthcare reported on two analyses...
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How to Code and Bill for Ectopic Pregnancy and its Treatment
Regarded as a life-threatening condition, ectopic pregnancy refers to a pregnancy that occurs outside the uterus. In ectopic pregnancy, the fertilized egg tends to grow outside the main cavity of...
What Are the Medical Codes to Report Epilepsy?
According to oxhp.com, epilepsy is commonly found and 10% of Americans have at least one seizure in their lifetime. This neurological condition is characterized by two or more unprovoked seizures....
Cardiac Surgery Coding for Transcatheter Aortic Valve Replacement (TAVR)
Transcatheter Aortic Valve Replacement (TAVR) (also called Transcatheter Aortic Valve Implantation (TAVI) is a procedure which involves replacement of a thickened and narrowed aortic valve of the...
How to do a Comprehensive Physical Therapy Eligibility Verification
Physical therapists provide services for a wide range of conditions, from helping patients reduce chronic pain, restore physical mobility, and regain strength to managing hand, wrist, arm, elbow and...
Medical Coding for Acne – A Common Skin Condition
Acne is one of the most common skin conditions in the United States, affecting about 50 million Americans annually. Breakouts appear in the form of pimples, whiteheads, blackheads, or painful...
Medical Billing Codes to Bill for Umbilical Hernia Repair
Umbilical hernias are common and occur in 10 to 20 percent of all children in the US. It is a medical condition that occurs at the umbilicus when a loop of the intestine pushes through the umbilical...
How Do You Report Fractured Tooth Using ICD-10?
Regarded as a leading cause of tooth loss among children and older people, a fractured tooth is a break or crack in the hard shell of the tooth. Also called cracked tooth syndrome, (CTS), the crack...
Predetermination vs Prior Authorization
Utilization management (UM) reviews are a component of the value-based care approach. They aim to determine if the care provided to patients is appropriate, efficient, and linked to improved patient...
Medicaid Coverage for Orthodontics
Medicaid programs are predominantly aimed at covering dental services for children and youth under the age of 21. There are certain states that give adult dental benefits. However, there is no...
How to Report Pain using ICD-10 Codes
Pain is a common complaint that physicians of all specialties treat. However, assessment of patients is a challenge as it depends upon self-report measures that, though valid, cannot convey the...