Health insurance companies use authorization as a utilization management strategy. Authorizations in medical billing require an evaluation of the medical necessity and cost-of-care implications of specific treatments, tests, and drugs before providers administer them....
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What Are the Codes to Report Supernumerary Teeth?
Supernumerary teeth, also known as hyperdontia, are fascinating dental phenomenon characterized by the presence of extra teeth in addition to the normal number of 32 teeth inside a patient’s mouth....
Coding Different Types of Vascular Disease – A Look at the Related ICD-10 Codes
Peripheral vascular diseases are conditions affecting the circulatory system, or system of blood vessels. These range from diseases of the arteries, veins and lymph vessels to blood disorders that...
What Are the ICD-10 Codes for Hyperlipidemia?
Hyperlipidemia is a common medical condition characterized by elevated levels of lipids (such as cholesterol and triglycerides) in the blood. In ICD-10, hyperlipidemia is classified under the "E"...
Importance of Prior Authorization for Prescription Drugs
Prior authorization (PA) — also referred to as preauthorization, preapproval and precertification — is a tool that is health insurance companies use to ensure patients receive treatments and...
Common Dental Problems During Summer and Their Codes
Summer is the time for sunshine, vacation and camping out. However, the hot weather can your teeth and gums as well, increasing the visits to dentists and oral hygienists. Treatment for dental...
What Is the Correct Code to Report Rheumatic Fever?
Rheumatic fever is an autoimmune disease that causes inflammation in the body's tissues. Also called acute rheumatic fever, this condition causes the body's immune system to attack its own tissues,...
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...