Tag Archives: HIPAA compliance

Top 7 Challenges with Wound Care Medical Coding

Medical necessity denials traditionally focus on high-dollar MS-DRGs, such as those for hip and knee replacements; other MS-DRGs may also soon become targets. We have identified some of the challenges in Wound Care Medical Coding. Healthcare providers are likely to perform … Continue reading

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Top 5 Outpatient reimbursement questions for Wound Care

Do outpatient reimbursement challenges frustrate you a lot? Medicare reimbursement regulations that are currently impacting wound care practices. Wound care professionals still have to follow the coding, payment, and coverage regulations for submitting claims to traditional Medicare. Below are top … Continue reading

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Cardiology Coding Guidelines Made Easier With Coding Alert

This year with the new cardiology coding and guidelines, cardiologists are in the tight spot. Furthermore; CMS lowers the reimbursement as part of its multiple procedure payment reductions for imaging services. This will lead to a reduction of 22% on … Continue reading

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Prepare Your Cardiology Practice With These Key Cardiology Coding Guidelines

With the rollout of ICD 10; the billing, coding, documentation, compliance, and auditing have become the buzzword in the healthcare industry. All these are going to have a massive impact on your practice’s revenue cycle. Hence; to meet the compliance … Continue reading

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Are you aware of Medicare Fraud and Abuse?

Most physicians strive to work ethically, provide high-quality medical care to their patients, and submit proper claims for payment. Trust is at the core of the physician-patient relationship. The Federal Government also places enormous trust in physicians. Medicare and other … Continue reading

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Procedure for Claim Submission with J-codes

The CMS has developed the Healthcare Common Procedure Coding System (HCPCS) for reporting medical procedures and services. Some of the most commonly used HCPCS Level II Codes, J-codes are used for non-orally administered medication, chemotherapy, and immunosuppressive drugs and inhalation … Continue reading

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General Surgery Medical Coding Steps to Avoid Denials

Physicians in general surgery are facing an uphill task of medical billing keeping in check different needs of the facilities and keeping a tab on the effective revenue cycle management to look for frequent denials and which of the claims … Continue reading

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