Louisiana posted the highest rate of Medicare being overbilled for services in the nation in 2015, with providers charging an estimated $1.25 billion more than they should have, according to…
Physicians often say they feel like the rules, standards and policies regarding the way they practice medicine change all too frequently. In 2016, there are several key issues physicians should…
Some experts are predicting a large spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking…
Helping patients meet their financial obligations will, in turn, allow healthcare organizations to protect their valuable revenue streams in a time of financial change. With the ICD-10 conversion behind us,…
Just as the Ice Age eventually ended, so has the ICD-10 coding freeze. CMS recently announced that roughly 6,000 new codes will be added this October, which will be the…
The reason that there has been such a large rise in codes for the ICD-10 coding system is due to a partial freeze that occurred before the implementation deadline on…
The next time you get a medical bill, don't pay it — at least not right away. It pays to check for errors first. Accounts of medical billing errors vary…
Now that ICD-10 is almost six months old, coders are figuring out which mistakes are the most common. ICD-10 codes are very specific and large in numbers compared to ICD-9.…
A total of 1,900 codes and 3,651 hospital inpatient procedure codes will be added for fiscal year 2017. The shift from ICD-9 to ICD-10 marked the introduction of a more…
It comes naturally to want to help your patients; especially the ones struggling to get by on a meager income or retirement. At first blush, it may make sense to…
Just how safe is the cloud and can we trust online software to keep sensitive medical billing data secure from a breach? In theory, the cloud is supposed to do…
Businesses, counties and municipalities could see a potentially significant increase in workers’ compensation benefits under legislation introduced in the House of Representatives involving permanent partial disability awards that have been…
SPELLING OUT MEDICAL NECESSITY Q: Does a diagnosis code alone support medical necessity for lab tests? Shouldn’t there be something in the note documenting a sign/symptom or current status of…
No doubt, electronic health records still are in need of improvement. That said, there's no denying the inroads they're making in research. Recent reports we highlight this week really highlight…
One of the things we are worried about is how ICD-10 implementation affects reimbursements for healthcare providers. And since Oct. 1, we've saying it's too early to tell. That's mostly because…
As it was billed and touted, ICD-10-CM/PCS gives medical personnel vastly expanded powers of specificity when diagnosing diseases and other health issues. Yet that greatly enhanced specificity comes with a…