Tag Archives: ICD-10 codes

10 Tips to Reduce Claim Rejections

A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be corrected. A rejected claim may be 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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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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How to Increase Patient Collection Percentage for Your Facility?

When outstanding patient balances grow out of control, your practice may feel there’s no option but to place them in the hands of a collection agency. Putting debt professionals in charge is the best way to get your payment… right? … Continue reading

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Healthcare Revenue Cycle Trends to Watch in 2019

The revenue cycle process and its management have continuously progressed over the last few years to keep up with the changes occurring in the healthcare industry. 2018 is no exception. When we talk about health care units and hospitals, the … Continue reading

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Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Governor Phil Murphy on August 30th, 2018 signed a bill that ended the decade-long battle to address the issue of the cost and impact of expensive medical bills for residents in the state. In a statement, Gov. Murphy said, “Today, … Continue reading

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Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, … Continue reading

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