Physicians ought to know about telemedicine modifier

Telemedicine permit health care professionals to evaluate, diagnose, and treat patients at a distance using telecommunications technology. It is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care that states can choose to cover under Medicaid. Telemedicine allows improving a patient’s health by permitting two-way: Interactive communication between the patients […]

Will uninsured population grow by end of 2020?

The uninsured population will grow by end of 2020, according to Urban Institute’s new estimate more than 10M people will lose employer-sponsored health insurance as a result on pandemic related job loss in their household between April and December 2020. The total number of uninsured individuals by the end of this year will be about […]

Healthcare Providers Paycheck Protection Program Loans

The paycheck protection program is a key resource for small healthcare organizations and the program is established by the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This act provides loans up to USD 10 million for businesses with fewer than 500 total employees. The loans can be fully forgiven if at least 60 percent […]

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 […]

Medicare Provider Enrollment Flexibilities during COVID-19

CMS is using its authority under section 1135 of the Social Security Act to offer flexibility with Medicare provider enrollment to support the COVID-19 pandemic national emergency. During the PHE, CMS is allowing physicians and non-physician practitioners to temporarily enroll as Medicare providers using a toll-free hotline provided by their MAC. The numbers are listed […]

Oncology Care Model (OCM) are willing to take on two-sided risk

Oncology practitioners in CMS’s Oncology care model (OCM) are willing to take on two-sided risk, according to the Community Oncology Alliance (COA) survey. The oncology practitioners are confident they can get success in providing quality and cost-effective cancer care as the healthcare system undergoes the shift from fee-for-service to value-based care. Community Oncology Alliance surveyed […]

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 is billed with seven ground codes: A0425 for mileage, A0426 to A0429 for ALS Level 1 and BLS, A0433 for ALS Level 2, and A0434 for specialty care transport. Each claim also carries a two-letter modifier, where the first letter shows the origin and the second shows the destination. Ambulance transportation CPT codes […]

Key Trends in Value-based Care of Oncology

In the healthcare industry, Value-based healthcare is the new delivery model in which care providers, including hospitals and physicians, are rewarded for helping patients improve their health and are paid based on patient health outcomes. This model has great adoption in Oncology for delivering holistic patient care while driving sustainable cost savings. In this model participating […]

CARDIAC CATHETERIZATION CPT CODE

The cardiac catheterization CPT code set runs from 93451 to 93461, covering right heart, left heart, and combined catheterization with or without coronary and bypass graft angiography. The right code depends on which side of the heart was catheterized and what imaging was done. Cardiac Catheterization CPT Code is used to report diagnostic and interventional […]

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