medical billing and coding services
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Medical Billing Services
New Medicare Beneficiary Identifiers (MBI)
MBIs are required for all claims and transactions starting Jan. 1, 2020 (with few exceptions). Out with the old Health…
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Radiology Billing Services
Radiology Part B Billing for Hospital and SNF Patients
Acceptable HCPCS codes for radiology and other diagnostic services are taken primarily from the CPT-4 portion of HCPCS. Payment is…
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Medical Billing Services
New Patient vs Established Patient E/M Codes
New patient visits used to be easy to distinguish from those with established patients. A new patient was someone you…
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Ambulance Transportation Billing Services
New Payment Model for Ambulance Services: ET3
The Department of Health and Human Services had launched a new payment model for ambulance services that federal officials believe…
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Ambulatory Surgical Centers
Basics of Medicare Payment for Ambulatory Surgical Services (ASCs)
Medicare covers surgical procedures provided in freestanding or hospital-operated ambulatory surgical centers (ASCs). In January 2008, Medicare began paying for…
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Medical Billing Services
Medical Record Documentation for E/M Services
Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history including past and…
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Medical Billing Services
Appropriate Use Criteria Program
Background The Protecting Access to Medicare Act (PAMA) of 2014, Section 218(b), established a new program to increase the rate…
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