Tag Archives: icd-10

CAQH and Insurance Credentialing

What is CAQH? Council for Affordable Quality Healthcare, Inc. (initialized as CAQH) is a non-profit organization incorporated in California as a mutual benefit corporation. It is essentially an online portal that stores provider information in a secure, collaboration database.  This … Continue reading

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New Medicare Enrollment Application (For Physicians and Non-Physician Practitioners)

CMS received approval for a new Medicare Enrollment Application for physicians and non-physician practitioners (CMS-855I dated 12/2018). Many changes are minor; the major ones reduce provider burden: Eliminated reporting for advanced diagnostic imaging, Clinical Laboratory Improvement Amendments number, and the … Continue reading

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Improved Acute Myocardial Infarction (AMI) Guidelines

ICD-10-CM implementation brought several significant changes to the OCG (Official Guidelines for Coding and Reporting) with regard to Chapter 9 (Diseases of the Circulatory System) I.C.9.e Acute myocardial infarction (AMI). Preparing yourself for coding updates based on MI type is … 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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How to Select Perfect Clearinghouse for your Medical Practice?

The clearinghouse you work with has a huge impact on your business. The more efficiently your clearinghouse processes and returns your information, the faster you will get paid, and the more payments you will collect. We came up with five … 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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