Staying compliant with current medical billing and coding practices is vital for healthcare entities to reduce claim errors, avoid any potential legal and financial risks, and thus ensure accurate reimbursement. Adhering to standard practices involves staying abreast...
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Maximizing Care and Reimbursement with Chronic Care Management Codes
Up to half of adult Americans (117 million people) have a chronic medical condition, according to the Centers of Disease Management and Control (CDC). In fact, the majority of patients that family...
2019 Coding and Guideline Updates for Internal Medicine
Internists provide care for a wide range of medical problems including chronic and serious conditions, and face many challenges when billing their services. There are several CPT code updates and...
Key Tips to Avoid Obsolete Spinal Coding Practices
Coding spine and pain procedures can be a complex and confusing process for both new and veteran coders. Commonly performed spine procedures include Lumbar decompression, Lumbar discectomy, Anterior...
Billing and Coding Peripheral Nerve Blocks
Peripheral nerves cause pain in various conditions, such as post-herniorrhaphy pain, iliac crest harvest syndromes, carpal tunnel syndrome, Morton's neuroma, facial pain and headaches. Peripheral...
Proper Documentation Critical for Radiology Billing and Coding Success
ICD-10 and the Quality Payment Program (QPP) under MACRA which draws attention to the necessity to meet new quality performance standards have made clear, concise and complete radiology reporting...
MDPP Services – CMS’ Key Billing Practices and Payment Rules
Diabetes is now the fastest-growing chronic disease globally and is the costliest chronic condition in the U.S., as reported by the American Diabetes Association (ADA). The Medicare Diabetes...
2019 ICD-10 Code Changes for Chiropractors
Starting October 1, 2018, a new ICD-10 code set went into effect for chiropractors. All chiropractic services provided after this date need to be reported using the new codes. With the increasing...
Know the ICD-10 Codes for Coding Christmas Season Injuries
December is the holiday season - the perfect time to decorate, indulge in tasty treats and celebrate and gather with loved ones. It's no surprise that the hustle and bustle of the Christmas Season...
How to Successfully Appeal Denied Claims
As a physician, your primary goal is to ensure you are paid for the services you provide. Outsourcing medical billing is an effective way to achieve this, but claim denials can occur due to various...
Hypopituitarism – an Overview of the Condition and Applicable ICD-10 Codes
Hypopituitarism is a rare disorder of decreased pituitary hormone secretion wherein the pituitary gland fails to produce normal amounts of one or more hormones. The pituitary gland is a small...