Preparing Your Healthcare Organization for ICD-11 Compliance

In the ever-evolving landscape of healthcare, staying compliant with the latest billing and coding guidelines is essential. The International Classification of Diseases, 11th Revision (ICD-11), represents the latest global standard for coding diseases and conditions. As healthcare providers in the United States, it’s crucial to prepare your organization for ICD-11 compliance. This article will guide […]

Read More.. Preparing Your Healthcare Organization for ICD-11 Compliance

The Role of Code Systems in Healthcare Industry

In today’s rapidly evolving healthcare landscape, efficient management of medical information is vital to provide quality care and ensure accurate reimbursement. Medical coding plays a crucial role in this process, translating complex medical procedures, diagnoses, and treatments into standardized codes. This article explores the significance of code systems in healthcare and highlights the benefits healthcare […]

Read More.. The Role of Code Systems in Healthcare Industry

Tips to Avoid Unbundling Codes

What is Unbundling Codes? Unbundling codes in medical billing refers to the practice of separately billing for individual components of a medical procedure or service, rather than billing for the complete procedure or service as a single entity. This practice can result in higher payments to healthcare providers and higher costs for patients and insurers. […]

Read More.. Tips to Avoid Unbundling Codes

Key Strategies for Improving Medical Coding Accuracy

Medical coding is a key process of revenue cycle management. Whether you are facing a high rate of denials and not achieving best-in-class A/R outcomes or not receiving timely insurance reimbursements, the impact of low-quality coding shows very quickly on your practice collections. Medical coding not only produces clean claims but also helps identify issues […]

Read More.. Key Strategies for Improving Medical Coding Accuracy

Stay Coding Compliant with Medical Audits

Basics of Coding Compliant with Medical Audits A coding audit is a review of a medical office’s coding practices conducted by reviewing patient medical records. Medical record audits target and evaluates procedural and diagnosis code selection as determined by physician documentation for completeness and accuracy. Medical audits cover: assessing the proper use of CPT codes; […]

Read More.. Stay Coding Compliant with Medical Audits

Improving Medical Coding Quality

Even though medical coding plays a crucial part in revenue cycle management, it is the most neglected process of medical billing. As per the study report, documentation and medical coding are considered to be the weakest processes of the revenue cycle in 2019. Accurate medical coding will ensure the claims will get out the door […]

Read More.. Improving Medical Coding Quality

Diagnosis Coding Guidelines for Aftercare

Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. Post-op care is different from aftercare. Post-op care falls into this category of care when the condition that precipitated the […]

Read More.. Diagnosis Coding Guidelines for Aftercare

CPT Codes for Third Doses of COVID-19 Vaccine

The American Medical Association (AMA) on 16th August 2021 announced that the Current Procedural Terminology (CPT®) code set is ready for the rollout of third doses of the Pfizer and Moderna COVID-19 vaccines. The CPT Editorial Panel has expedited approval of a new administration code that is unique to a third dose of the current […]

Read More.. CPT Codes for Third Doses of COVID-19 Vaccine

Coding Guidelines for Interprofessional Internet Consultations

Interprofessional Internet/Telephone/EHR Consultations Interprofessional Telephone/Internet/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient’s treating (e.g., attending or primary) physician or other QHP requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and/or management […]

Read More.. Coding Guidelines for Interprofessional Internet Consultations

Guidelines for E/M Coding 2021

In order to reduce the administrative burden of coding guidelines, the American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Board and the U.S. Centers for Medicare & Medicaid Services (CMS) have proposed simplifications of the official evaluation and management (E/M) coding system to begin January 2021. The Guidelines for E/M Coding define the requirements […]

Read More.. Guidelines for E/M Coding 2021