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Introduction When coding medical claims, it’s important to remember that different health insurance companies have different requirements. Each company has its own list of CPT codes (which are basically just a shorthand way of categorizing services). They’re also all different sizes: some might have 200 codes while others have more…
Introduction The Healthcare Common Procedural Coding System (HCPCS) is a system to classify items, supplies, and services used in health care. The United States Department of Health and Human Services specifies the codes that are included in the HCPCS. There are three levels of codes: Level I, Level II, and…
Medical coding and documentation are two of the most overlooked aspects of your medical practice. The sooner you start implementing changes, the better. When it comes to improving your internal operations, nothing is more important than getting things right the first time. This article will cover everything from why you…
Physicians and other healthcare professionals spend a large amount of time coding patient data. A medical coder is responsible for entering the codes into electronic medical records, billing the insurance company, and submitting claims to receive reimbursement. The amount of time spent coders varies between practices based on their coding…
Increasing patient engagement is a top priority for most modern medical practices, especially in the increasingly value-based landscape of medical billing. Even for organizations that have yet to embrace the shift to quality over quantity, patient engagement is far more valuable financially than most practices realize. Why Is Patient Engagement…
Of course, putting those medical billing and coding process steps in place can be difficult. It’s even more difficult if you don’t know what an acceptable collection ratio is or how frequently you should bill patients in the first place. Make use of these medical coding tips and best billing…
Common Documentation Errors Identified by CERT & RACS. The Centers for Medicare & Medicaid Services calculates the Medicare Fee-for-Service (FFS) improper payment rate through the CERT program. Each year, CERT evaluates a statistically valid stratified random sample of claims to determine if they were paid properly under Medicare coverage, coding, and…
On June 11, 2018, the Centers for Disease Control and Prevention (CDC) released the FY 2019 ICD-10-CM code changes. There are 473 code changes, including 279 new codes, 143 revised codes, and 51 deactivated codes. These codes are to be used from October 1, 2018 through September 30, 2019. The total…
The automation of manual tasks is an important strategy for performance improvement as the healthcare industry continually works to cut costs and improve efficiency. More than ever healthcare organizations face tough challenges in their efforts to control costs while delivering quality patient care. While many of these challenges impact healthcare providers…
ICD-10 accuracy codes reflect how medical practices treat their patients. Incorrect coding can lead to denied claims that hurt healthcare providers’ revenue streams. Unfortunately, sometimes when all the coding is done correctly, healthcare payers may not be able to hold up their end of the deal. ICD-10 accuracy codes reflect how medical…
