CPT (Current Procedural Terminology) medical coding updates are crucial in the healthcare industry as they reflect the evolving landscape of medical procedures and services. These annual updates are published by the American Medical Association (AMA) to ensure that...
Specialty Practices
How to Code Common Dermatological Skin Procedures
Reporting skin procedures is complex as the codes should be assigned based on the type of removal, the size and location of the lesion, the provider's intent, and pathologic results. Outsourcing the...
Steps to Ease the Dental Eligibility Verification Process
According to a study in Health Affairs, patients reported that they did not get the dental care they needed because of cost, fear, inconvenient locations or appointment times, and trouble finding a...
Accurate Reporting of Orthopedic Implant Removal
Orthopedic surgeons frequently remove fracture fixation devices or implants. There are many options for operative fracture treatment, which has advanced with development of new and custom metal...
Radiology Practice Alert – Stay on Top of Compliance Issues
Several regulatory changes affect radiology practices every year. The business of radiology has become increasingly complex as regulatory demands increase and reimbursement declines. Diagnostic...
Save Time and Money by Outsourcing Dental Eligibility Verification
According to a report in Dentistry IQ, dental insurance checks make up approximately 50% of the income of most dental practices. It is therefore essential that dentists have dedicated and efficient...
Some Unique Aspects of Chiropractic Medical Billing
Chiropractic medical billing is not just the use of the familiar CPT codes 98940, 98941 and 98942. The appropriate modifier that describes the services, Medicare or any specific insurance...
Imaging Use Takes a Tumble with Coding and Reimbursement Restrictions
Most radiology practices and imaging centers choose to outsource medical billing and coding to stay up-to-date on all the regulations and individual payer changes. This allows them to submit claims...
Implications of Coding and Payment Reform for Radiology Medical Billing
Changes to health care regulations and policies have impacted the business of radiology quite significantly. Though efficient radiology medical billing and coding services are available, providers...
New Epidural Injection Codes to Improve Pain Management Reimbursement in 2017
Starting January 1, 2017, there are eight new epidural injection CPT codes which replace codes 62310-62311 and 62318-62319. When it comes to pain management billing, knowledge of the new codes and...
Dental Billing Fraud and Abuse – Know the Facts
Dental practices are under increasing scrutiny by Medicare, commercial insurance companies and regulatory bodies after recent reports of dental billing fraud and abuse. While partnering with a...