Gearing Up for Inpatient Medical Coding and Reimbursement Challenges

“The prevalence of such demanding challenges is reason enough to push physicians beyond their Medical Billing Management capabilities, which invariably results in compromised medical efficiency. Therefore, physicians – faced with insurmountable challenges of inpatient medical billing management – have either to set up a dedicated team in-house or look elsewhere for competent outsourced solutions.” Unlike […]

The Relevance of Using Perfect Modifiers in Medical Claims

The overlapping nature of certain medical procedures is such that it is impossible to report them with CPT codes alone. Although CPT coding has grown to be comprehensive enough to cover breakthrough procedures over the years, yet, physicians are not spared from submitting separate procedural forms for medical procedures requiring explanation that overshoot the CPT […]

Under-Coding: Financial Repercussions and Solutions

Under-coding can be defined as the procedure of medical coding where the codes do not reflect the full extent of the treatment provided to a patient. This can usually happen due to many reasons but the most common are errors or misreading of codes or because of the misconception that the chances of insurers paying […]

Standards of Ethical Medical coding: Part 1

Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process, coding professionals are frequently faced with ethical challenges. There are stringent medical Billing guidelines in place for the entire gamut of coding practices which include issues such as the privacy of […]

CPT Category II Code Updates by AMA

The American Medical Association (AMA) has released an update of CPT Category II code list, which will first appear in CPT 2012, with an implementation date of 1st Jan, 2011. The CPT Category II codes are supplemental tracking codes that can be used for performance measurement. The use of tracking codes for performance measurement will […]

Increasing Demand for Certified Coders in Healthcare

The year 2010 has set a premium on the coding professionals, registering a rise in their average salaries. And as expected, the salaries for certified medical coders are higher as compared to the non certified ones. According to a salary survey of nearly 12000 coding professionals, the average salaries for credentialed coding professionals have increased […]

Latest Coding Resources and Products Available Online, for a Fee

Coding is a very crucial step in a clinic’s revenue cycle process and coders need to keep themselves updated with changing industry regulations and norms to remain competitive. But the question is how? The latest online coding resources offered by the American Medical Association have come as a blessing for the coders by providing electronic […]

ICD-10 Implementation: An update for physicians and coders

ICD-10 Implementation The transition to ICD-10 implementation involves far more than an increase in the number of diagnosis and procedure codes. ICD-10 introduces significantly more detailed and specific code descriptions compared to ICD-9, requiring coders to adapt to new documentation standards and coding logic. As a result, the complexity of this transition is substantial and […]

Assess the capability of your workforce: Is your clinic administration in the right hands?

The capability of your workforce as a physician is directly impacted by the number of people you hire and the efficiency of the staff. Ideally every business entity needs to find the right balance between the number of people employed and the profits or revenue that they help generate. This factor along with the efficiency […]

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Medical Coding