Are you in confusion over COVID-19 coding and claim requirements?

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 […]

AMA’s CY 2021 CPT Codes Set Release

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. […]

Outpatient Coding and Inpatient Coding

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 […]

Difference between medical coding and medical transcription

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 […]

How to use CPT Codes?

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 CPT Codes and Modifiers

Ambulance transportation CPT codes and modifiers are used to report medically necessary ground and air ambulance services for patients requiring transportation to or from healthcare facilities. The most commonly used ambulance transportation billing codes include A0425, A0426, A0427, A0428, A0429, A0433, and A0434, while origin and destination modifiers identify where the transport began and ended. […]

COVID-19: All You Need To Know About ICD-10 Codes and Reporting Guidelines

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 […]

SEVEN WAYS CODING AND BILLING STRATEGIES CAN IMPROVE YOUR REVENUE

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. […]

Newly Added Lab Specimen Collection HCPCS Codes COVID-19

CMS announced the creation of new COVID-19 lab specimen collection HCPCS codes G2023 and G2024 through their COVID-19 Interim Final Rule effective on and after March 01st, 2020. The rule specifies that these codes are only chargeable by independent laboratories and only in instances where trained personnel from the lab travel to collect the specimens […]

How to do accurate coding for Telehealth Services 2020?

The government is relaxing guidelines to ensure seniors get the healthcare they need during this national emergency. The Centers for Medicare & Medicaid Services (CMS) announced in a March 17, 2020, press release that it will make a temporary change in its reimbursement policy for telehealth services. For dates of service (DOS) on or after […]

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Medical Coding