Specialities
Timely filing (CO 29) denials are handled in one of two ways: prove the claim reached the payer inside the filing window, or appeal with a valid, documented reason for the delay. CO 29 means the payer’s time limit for filing has expired, and that limit runs from the date of service. Insurance will deny […]
Handling denial B9 with modifiers GV and GW starts with confirming the patient was enrolled in hospice on the date of service, then adding the modifier that fits the service. GV applies when an attending physician who is not employed or paid by the hospice treats the terminal condition, and GW applies when the service […]
Medical nutrition therapy (MNT) is a key component of diabetes education and management. MNT is defined as a ‘nutrition-based treatment provided by a registered dietitian nutritionist.’ It includes ‘a nutrition diagnosis as well as therapeutic and counseling services to help manage diabetes. Studies have documented an association between MNT delivered by a registered dietitian and […]
Under some circumstances, the individual skills of two or more surgeons are required to perform surgery on the same patient during the same operative session. This may be required because of the complex nature of the procedure(s) and/or the patient’s condition. In these cases, the additional physicians are not acting as assistants at the surgery. […]
CMS recently announced that it will provide parity in payment for telephone/audio-only services. Specifically, Medicare payment for the telephone evaluation and management visits would be equivalent to Medicare payment for office/outpatient visits with established patients’ effective March 1, 2020. This means that payment for CPT codes 99441-99443 would increase from a range of about $14-$41 […]
If you are a provider and you are going to start the credentialing process then you need to read this provider credentialing issue in healthcare. We observed that there are many potential issues and potential costs in the provider credentialing process. Actually, provider credentialing is the most important compliance issue in medical practice. Without credentialing […]
The Centers for Medicare & Medicaid Services on 14th Oct 2020, announced that it has expanded the list of telehealth services that Medicare will pay for during the COVID-19 public health emergency. Medicare will begin paying eligible practitioners for these 11 newly approved telehealth services delivered via telehealth, including certain cardiac rehabilitation and monitoring services. […]
Telemedicine was originally envisioned for its use in rural areas. Before the COVID-19 pandemic, telemedicine was started gaining traction in hospitals, large group practices, and online telemedicine services. Now after the COVID-19 pandemic, almost every medical specialty is finding a way to adopt telemedicine. There are some specialties where telemedicine adoption is comparatively high like […]
The Centers for Medicare & Medicaid Services (CMS) made many changes to adapt patient care amid the COVID-19 pandemic. Expanding Medicare coverage to include a range of services through audio-only telehealth visits is one of them. Let’s understand some of the basic coding guidelines for audio-only telephone visits: CPT Code 99441-99443 -audio-only telehealth Code Description […]
Every healthcare provider has to apply for initial medical credentialing and must get re-credentialed after every 2-3 years. It’s a tedious and time-consuming task, but a necessary one, as it’s required before a healthcare organization or practice can bill on your behalf. The complete medical credentialing process can take up to 3-4 months to complete […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
Services
Resource Center
Pricing
About
Contact
