Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]
Osteoporosis is a bone disease that involves abnormal loss of bony tissue resulting in fragile or porous bones. Without appropriate treatment, osteoporosis can worsen. As bones get weaker and thinner, the potential risk for fractures increases. Documentation is very important and physicians must ensure timely medical documentation to ensure appropriate treatment for these patients. Medical […]
If your in-house Cardiology billing and coding department are facing constant inefficiencies, and dealing with coding backlogs and if you are operating on a shoe-string budget and small staff, chances of a negative impact on your Cardiology facilities bottom line are very high. Keep in mind that seamless medical coding has an ever-increasing impact on […]
HCC is a payment model created by the Balanced Budget Act of 1997. Implemented by the Center for Medicare and Medicaid Services in 2003, the payment model will identify the individual with chronic illness and assign them to a risk factor score. This risk factor score gives CMS a specific plan out that channelizes the […]
Patient Engagement is an invitation for participation with shared decision-making and to create a take on aspects of communication-channels which will provide the patients the benefit of managing their own health under the care of physicians or with the member of the healthcare team. An activated or engaged patient will provide the healthcare system with […]
Accurate medical billing is important to achieve sustainable success for your medical practice. When centers lack in training their in-house coders, compliance is threatened. Below mentioned are the facts that you should know: According to several reports, up to 85 percent of medical bills contain coding mistakes resulting in $70 billion in estimated losses. 45 […]
Orthopedic practices thrive on efficient billing practices that help in streamlining revenue cycle management by cutting out delays and minimizing stress on cash flows. Here is a list of things you need to handle as efficiently as possible to avert claim denial at your orthopedic specialty clinic: Insurance Cover Verification Insurance cover verification is an […]
There are a couple of modifiers in medical coding that are very rarely used. There are two such modifiers 32 and 33. These modifiers can only be used when there is appropriate documentation supporting the case. Here are some pointers on how to use modifiers 32 and 33: When should Modifier 32 be used? Modifier […]
Working in the healthcare industry is an essential component and likely to be in vogue, in the present day’s business scenario. A large portion of us know who is our physician, medical attendant or even the technician working in the lab, however one thing most of the patients as well as doctors don’t know is […]
The ICD-10 coding system, since its inception, October 2015, has so far unfolded without a hitch. Although, frustration levels were high during the initial days, yet those practitioners who had already laid the ground, slipped into a comfort zone for the medical coding and billing practices, by the month end. ICD-10, a boon or a curse, […]
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