Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to the requirements in pre-authorizations. Keeping the existing concerns...
Blog
CDC issues Management and Coding Guidelines for e-cigarette/Vaping Associated Lung Injury
Vaping illnesses or lung diseases associated with e-cigarette use in the United States are evoking much concern among healthcare providers and public health officials. As of October 22, 2019, 1,604...
Notable Coding Changes for Chiropractors in 2020
As a holistic therapy for various musculoskeletal conditions, the demand for chiropractic care is growing. Chiropractors use a range of manipulative techniques to reduce pain, improve function and...
Common Fall Injuries and Related ICD-10 Codes
Slip and fall injuries are quite common in the autumn season. Fall injuries are mainly due to fall leaves covering the ground, which makes it difficult to see the surface you’re walking on and thus...
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...