Healthcare providers face different types of medical record audits and with the changing focus and increasing expectations of payers, advanced preparation is crucial for success. Audits can be...
Industry News
ICD-10-CM Coding for Hypertensive Heart Disease and Related Conditions
Hypertensive heart disease, the main cause of death associated with hypertension or high blood pressure, refers to heart failure, coronary artery disease, and enlargement of the heart. Compared to...
Medical Coding for Transitional Care Management Services – Provider – Patient Requirements
TCM or Transitional Care Management services are provided to enable patients to transition successfully from a hospital stay back to a community setting. They are provided for an established or new...
2016 HCPCS Coding Corrections
The Centers for Medicare and Medicaid Services (CMS) has released few corrections to the 2016 HCPCS Level II code set. Though the updates were released late, the changes are effective from Jan 1,...
Medicare Part B Now Covers Really Expensive Drugs
Medical billing responsibilities have become more extensive, with more medicines being covered by Medicare. Medicare Part B Patients would be glad to know that Medicare Part B now covers some pretty...
CPT/HCPCS Coding for Radiology Practices in 2015
Radiology practices and radiology coding companies looking for maximum revenue in 2015 are required to understand the new CPT/HCPCS coding updates in radiology medical coding and their impact on...
ICD-10-CM – Overview, Significance and Top Diagnostic Codes
As the ICD-10 medical coding system officially went live on October 1, all HIPAA covered healthcare settings are required to replace ICD-9-CM codes with ICD-10-CM codes on their claims (date of...
CMS Proposes Significant Changes to Two-Midnight Rule for 2016
This July, the Centers for Medicare and Medicaid Services (CMS) issued the 2016 Proposed Rule for the Medicare Program covering Hospital Outpatient Prospective Payment and Ambulatory Surgical Center...
Myocardial Infarctions – ICD-10 Medical Coding and Documentation
Myocardial infarction (MI) refers to heart attack, which occurs when a portion of the heart is deprived of oxygen as a result of the blockage of a coronary artery. The most common cause for this...