According to the Centers for Disease Control and Prevention (CDC), in 2020, 126,240 new colorectal cancers were reported in the U.S., with 51,869 deaths from colorectal cancer. Colonoscopy is the most common procedure used for CRC screening. Recent policy changes have...
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ICD Coding for Antibiotic Resistant Infections
Antimicrobial resistance (AR) is a global concern and among the five most important serious public health threats in the US, according to a January 2019 Contagion report. In fact, on its website,...
Documenting and Coding Chronic Obstructive Pulmonary Disease and Asthma in ICD-10
With temperatures turning cooler, individuals with pulmonary diseases such as Chronic Obstructive Pulmonary Disease (COPD) and asthma face risk of exacerbation of their condition. As COPD and asthma...
Dermatology Medical Billing and Coding – Key Considerations for Success
Dermatology practices must adhere to the latest dermatology CPT coding and billing guidelines for accurate reimbursement and compliance. Accurate clinical documentation of the procedures along with...
Key Steps for Coders to Select the Right ICD-10 Codes
From 68,000 codes in 2014, ICD-10 has now reached a grand total of 71,932 codes in 2019. Choosing a relevant code from these alphanumeric categories is no doubt a time-consuming task for coders....
CPT Code Changes for 2020 – Highlights and Implications
The American Medical Association's (AMA's) 2020 update of the CPT code set comprises 394 code changes, including 248 new codes, 71 deletions, and 75 revisions. A thorough understanding of these...
Know Payer-specific Deadlines for Claims Submission
The recent announcement by Anthem Blue Cross about changes in timely filing limits for Medicare Advantage plans points to the importance of efficient insurance eligibility verification and claim...
New ICD-10 Codes for Financial Year 2020
Physicians need to know and understand diagnosis codes to ensure proper reimbursement for claims. Practices and providers of coding and medical billing services are ready to implement the ICD-10...
Influenza Vaccine Recommendations and CPT Codes for the 2019-2020 Season
Flu is a viral respiratory illness that spreads very easily and it can lead to serious health complications and possibly death. With flu season just around the corner, it is important to be prepared...
Radiology Prior Authorizations – What Practices Should Know
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties and radiology is not an exception. Whether you are an imaging specialist or a...
Medicare Now Provides Coverage for CAR T-cell Therapy
The Centers for Medicare & Medicaid Services (CMS) recently announced its decision to cover the expensive Chimeric Antigen Receptor (CAR) T-cell Therapy for cancers. This cancer treatment uses a...