For many providers, the end of the pandemic is in sight with the recent emergency use authorization of a COVID-19 vaccine. And while this may be true, it is just…
I. Introduction Zone Program Integrity Contractors (“ZPICs”) are charged with the responsibility of investigating alleged instances of fraud, waste, or abuse by health care providers. They are authorized to conduct…
Are you prepared for the sweeping changes made to the “traditional” 1995 and 1997 evaluation and management (E/M) guidelines for office and outpatient visit codes you have been accustomed to…
Medical billing is a complicated process as it is, in which medical billing for mental health services is more complicated than ever and comes with a bunch of unique challenges.…
The impact of the coronavirus is being especially felt among case management professionals. There is no topic that will define the career of those currently in healthcare more than the…
The Centers for Medicare and Medicaid Services (CMS) released 21 new ICD-10-PCS codes that apply to the vaccination or treatment of COVID-19. These codes are effective January 1, 2021. The…
Come January 1, 2021, CMS will implement 21 new ICD-10 procedure codes for COVID-19 vaccines and therapeutics for the novel coronavirus, including baricitinib and monoclonal antibody treatments. The Food and…
November is Diabetes Awareness Month, and it seems additionally appropriate to review diabetes when there is a focus on chronic diseases. According to the World Health Organization (WHO), diabetes…
Health Information Manager: Five Essential Skills To Possess : The record-keeping of patients is transitioning from traditional handwritten ways to digital formats. Health care providers are using the latest technologies to…
Dravet syndrome now has its own global health statistics codes — known as “ICD-10” codes — that potentially could result in improved patient outcomes and enhanced clinical and scientific knowledge…
Just a day after the FDA approved the emergency use of a new COVID-19 antibody drug, CMS updated Medicare payment and billing policies to ensure providers have access to the…
America’s new normal. Unemployed, uninsured, unbelievable! The U.S. Bureau of Labor Statistics indicates that 12.6 million Americans are on unemployment rosters around the country; 32.5 percent of the adult population…
New Current Procedural Terminology (CPT®) codes have been created that streamline the reporting of immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19). Unique CPT codes approved for COVID-19…
There are false negatives; there are false positives; there are untested individuals with disease. I am in the process of developing a 90-minute COVID-19 webinar for ICDUniversity in December to…
Five New York emergency room physician groups on Monday filed a federal lawsuit alleging that UnitedHealth Group and Multiplan conspired to underpay out-of-network providers. The group of staffing firms, all…
Some jobs have weathered the pandemic far better than others. Medical coders and billers were booming even before the coronavirus hit, and demand for those skills has only accelerated. The…