Overview of Coverage Requirements The coverage of chiropractic services is precisely limited to treatment by means of manual manipulation (i.e., by use of the hands) of the spine to correct a subluxation. Subluxation is defined as a motion segment in which alignment, movement integrity, and/or physiological function of the spine are altered, although contact between […]
New COVID-19 – CPT code 99072 was established to report additional practice expenses incurred during COVID-19, including supplies and additional clinical staff time. New code 99072 represents a new practice expense code specifically intended for use during a declared PHE as defined by law, due to respiratory-transmitted infectious disease. It accounts for additional supplies, materials, […]
According to a new survey that confusion over COVID-19 medical coding and insurance claim requirements is one of the top effects the pandemic has had on revenue cycle management in the healthcare industry. Alpha Health conducted a survey through the Healthcare Financial Management Association’s Pulse program, they inquired 587 chief financial authorities and revenue cycle […]
The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to streamline coding and documentation of office visits and other outpatient evaluation and management (E/M) services. Streamline E/M Coding These new modifications were designed to make E/M office visit and documentation simpler and more flexible. […]
The hospital coding and billing is truly a complex system, considering the complexity of the hospital environment. Thousands of hospital employees make sure all things are well organized and systematic at the hospital, starting from the patient billing process to the reimbursement process. It’s a complex task in itself to make sure the patient billing […]
Patient charts are assigned with CPT, HCPCS, and/or ICD9 codes by medical coders for reimbursement. Each should be precise which helps to accurately describe the procedure performed and diagnosis rendered by patients. Medical Coding Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. To know more […]
CPT is an expansive and important code set which is published and maintained by the American Medical Association (AMA).CPT and ICD code sets are important for medical billing and coding and every coder should be aware of it. Healthcare providers offer various services such as surgeries, evaluations, and any other medical procedure to patients. These services […]
Ambulance transportation services that are covered in Medicare part B covers ground ambulance transportation when a patient needs to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services while the transportation in another vehicle could be hazardous for patient’s health. However, ambulance transportation has certain risks. The risk […]
From the upsurge in the pandemic COVID-19, government authorities and associations such as American Medical Association, the Centers for Disease Control and Prevention (CDC), and other Medicare professionals are working hand in hand to mitigate the intensity of the outbreak. With the introduction of new codes and reporting guidelines designed for COVID-19 from the past […]
As per the Medical Group Management Association (MGMA) increasing the revenue of the practice rely largely upon filing correct claims which satisfy all reporting guidelines, filing appeals, and tracking denials within the timeline. Apart from this, keeping your business financially healthy is not a simple practice as practices changing from the fee-for-service model to value-based care. […]
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