Tag Archives: medical coding services

3 ways for health care providers to get patients’ MBIs

Medicare has come up with new revelation this time. It is taking steps to remove Social Security numbers from Medicare cards. The initiative from Medicare, the Centers for Medicare & Medicaid Services will help prevent the fraud, fight identity theft … Continue reading

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2019 NCCI update impact on medical billing and coding

NCCI – National Correct Coding Initiative promotes the correct coding methodologies. Furthermore, it controls inappropriate coding leading to wrong payments in Part B claims. The CMS annually updates the National Correct Coding Initiative Coding Policy Manual for Medicare Services. The … Continue reading

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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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Are you Constantly Receiving Denial Code CO-197?

What is Pre Authorization? Most of the carriers request to obtain prior authorization from them before the service/surgery.  Prior authorization for health care services is required for certain services. If authorization is not obtained prior to performing the service, the … Continue reading

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Benefits of Outsourcing HCC Coding Service Activities

HCC coding also we known as Hierarchical Condition Category coding is the important key element which decides the reimbursement benefits for a Medicare Advantage Plan that uses ICD diagnostic codes as the primary indicators of the member’s health status. Correct … 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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