Read more about the article Medical Billing, Patient Access Top Revenue Cycle Risks of 2019
Vector light bulb and number 2019 new year creative design

Medical Billing, Patient Access Top Revenue Cycle Risks of 2019

Patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for hospitals, practices, and other provider organizations in 2019, according to a new report…

Comments Off on Medical Billing, Patient Access Top Revenue Cycle Risks of 2019

Keep These ICD-10 Codes Handy for Holiday Mishaps

Besides being a time for giving and promoting peace on earth, December is the month of holiday preparation, gathering with loved ones, and celebrating. With so many festivities and too…

Comments Off on Keep These ICD-10 Codes Handy for Holiday Mishaps

What CMS’ decision to pay separately for Exparel use means for ASCs

CMS' 2019 final payment rule for ASCs and hospital outpatient surgery departments included a new code allowing separate payments to ASCs that use Pacira Pharmaceuticals' non-opioid pain management drug, Exparel.…

Comments Off on What CMS’ decision to pay separately for Exparel use means for ASCs

The ICD-10 code for cattle attacks & 14 other wacky codes

There's no horsing around when it comes to animal-related injuries. Here are 15 ICD-10 codes for animal-related incidents, as listed on ICD10Data.com: 1. Bitten by a cow — W55.212. Pecked…

Comments Off on The ICD-10 code for cattle attacks & 14 other wacky codes
Read more about the article CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds
Handing over money.

CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds

Audits performed by the HHS Office of Inspector General (OIG) showed that hospitals received excess Graduate Medical Education (GME) Medicare reimbursement after counting residents and interns as more than one…

Comments Off on CMS Paid $4M in Excess GME Medicare Reimbursement, OIG Finds

AMA releases 335 code changes for 2019 — Here are the key updates

The American Medical Association revealed the 2019 Current Procedural Terminology code set, which includes significant changes to CPT codes and descriptors. Here's what you should know: 1. The AMA changed…

Comments Off on AMA releases 335 code changes for 2019 — Here are the key updates

20 Wacky ICD-10 Codes for Thanksgiving

Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes. Here are 20 codes physicians may have to use: 1. W61.43: Pecked by a turkey…

Comments Off on 20 Wacky ICD-10 Codes for Thanksgiving

It’s Time to Step Up Our ICD-10 Education for Providers

One of the many benefits of working for a nation-wide company is visibility into payer actions from coast to coast. Our many customers send us comments about payer actions and…

Comments Off on It’s Time to Step Up Our ICD-10 Education for Providers

CMS Delays E/M Coding Changes in New Physician Payment Rule

Physicians hoping the Centers for Medicare & Medicaid Services (CMS) would modify some proposed changes to evaluation and management (E/M) codes got their wish Thursday when the agency issued its…

Comments Off on CMS Delays E/M Coding Changes in New Physician Payment Rule

ICD-10 Code for Lyme Disease

For reimbursement claims, medical providers are required to use ICD-10-CM codes. According to the Centers for Disease Control and Prevention, treatment for Lyme disease after diagnosis requires an initial four-week…

Comments Off on ICD-10 Code for Lyme Disease

2019 CPT Codes Offer New Paths to Payment for Digital Medicine

Reflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care, the 2019 Current Procedural Terminology (CPT®) code…

Comments Off on 2019 CPT Codes Offer New Paths to Payment for Digital Medicine