Diagnosis coding brings the unique challenge of knowing when to use a 7th character on your ICD-10-CM code and then determining which character applies. These tips will help you refine…
The new rule contains two key requirements—annual disclosure of prices and 300 “shoppable” items. Effective Jan. 1, 2019, the Centers for Medicare & Medicaid Services (CMS) required that hospitals publish…
More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the…
A healthy patient-provider relationship that develops in the office can quickly be affected negatively if after the treatment the patient receives a medical bill that contains errors.To avoid this from…
Several ICD-10 and CPT code changes came into effect for urology in 2020. Practitioners need to understand the updates and associated urology medical billing guidelines to ensure accurate reporting and…
2020 promises to be an important year as many significant new healthcare industry regulations begin to take effect. In his recent blog, NextGen Healthcare’s Government Affairs Advisor Chris Emper highlighted some of…
The World Health Organization (WHO) declared the novel coronavirus a global public health emergency on Jan. 31. As of Feb. 3, the coronavirus has spread to 24 countries, and the…
The Medicare Physician Fee Schedule (MPFS) includes special pricing for four colonoscopy codes when you append modifier 53 (Discontinued procedure). Here’s what you need to know about appending modifier 53…
The Centers for Disease Control and Prevention will implement a new ICD-10-CM diagnosis code for reporting vaping-related disorders starting April 1. The Centers for Medicare & Medicaid Services has updated…
Current Procedural Terminology codes provide a uniform language for reporting medical services and procedures provided by members of the medical community. The codes are copywritten and managed by the CPT…
It’s a common complaint heard among primary care physicians: Evaluation and management (E/M) codes don’t adequately capture the time, skill, and resources necessary to plan and coordinate care for patients…
An annual coding contest revealed that the accuracy of outpatient coding worsened in 2019, ICD-10 Monitor reports. Five insights: 1. Central Learning's annual coding contest found accuracy rates of 38…
Success can cost you more than you thought it would. You might have heard the phrase, “everyone wants to be successful until they see what it actually takes.” While I’m…
Hospital billing departments coordinate health plan benefits every day. Typically, coordination of benefits (COB) is aided by patient registration workflows that gather basic demographic and health insurance information. But what…
Question: I am aware that diagnosis codes for 2020 updated Oct. 1, 2019, but what about CPT codes? And do you have any information about codes that may affect acupuncture…
Funding legislation aimed at keeping HHS and other non-Defense agencies running in fiscal year (FY) 2020 will also postpone $4 billion in Medicaid Disproportionate Share Hospital (DSH) payment cuts until…