Cardiology includes a wide range of diagnostic tests, procedures, surgeries, and interventions, each with its own specific set of codes. Medical billing and coding outsourcing is a practical strategy for healthcare providers to ensure accurate CPT and ICD-10 coding,...
Specialty Practices
Appropriate Use of Modifiers 25 and 59 in Chiropractic Medical Billing
According to recent reports, chiropractic practices received denials from Blue Cross and Blue Shield (BCBS) for claims billed with modifiers. Medical billing outsourcing companies that provide...
Patellar Tendonitis Documentation with Accurate ICD-10 Codes
Those interested in sports will be quite familiar with the term "Patellar tendonitis". Also referred to as "jumper's knee", it is a knee injury affecting the patella tendon. It is common in...
What are the Changes, New Codes and Implications of the 2018 PFS for Anesthesia Providers
In November 2017, the Centers for Medicare & Medicaid Services released two final rules that would affect payment for physician services. The Medicare Physician Fee Schedule (PFS) Final Rule was...
CMS Publishes New Payment Rates for Blue-light Cystoscopy
Cystoscopy is one of the most common procedures performed by urologists to detect bladder cancer. According to the 2018 Outpatient Prospective Payment System (OPPS) final rule, the Centers for...
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...