Before 2011, hospitalists had only Centers for Medicare & Medicaid Services’ (CMS) specialty-specific CPT distribution data, and no hospitalist-specific data, available when looking for benchmarks against which to compare their…
It seems the only things more complex than wounds today are the rules about getting paid for treating them. That's likely what many smaller nursing home administrators will say as…
“Unified clinical pathways providing minimal guidelines on the best medical practices” is a solution for the current gap between medical necessity and insurance coverage, according to a leading provider of…
Worried about the transition from the International Classification of Diseases, Ninth Revision (ICD-9), to ICD-10? A new Web site is designed to ease the process for you and other healthcare providers by…
In a little-noticed speech to the Iowa Republican Party this month, Kentucky Republican Senator Rand Paul mocked President Obama's signature health care overhaul, noting the 122,000 new medical diagnostic codes…
With providers putting so much effort into the ICD-10 transition, it’s important to feel like they’ll be getting something back out of it, too. According to Linda Kloss, RHIA, former…
Struck by a killer whale? Bit by a turtle or mouse? All are included in a new medical coding system doctors must use to get reimbursed by Medicare and insurance…
University of Illinois at Chicago researchers have developed a website that walks healthcare providers through the challenging transition from the current International Classification of Diseases -- ICD-9 -- to the…
The health care industry is “not progressing at a suitable pace” to be ready for tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures…
In a video statement issued late Tuesday afternoon Medical Coding Pro denied that any "hidden messages" are used in Laureen Jandroep's Blitz Videos to increase the pass rate of the…
Ector County Health District officials unanimously passed a measure Tuesday night to fund training to accommodate a switch in the system in which they process diagnosing and procedure codes to…
As U.S. health care providers continue the march toward implementing the ICD-10 — a standardized set of medical diagnoses used by medical professionals across the world — the code set…
Filed a claim during the legal battle between the American Medical Association (AMA) and UHC? There’s good news for you.
In a letter published today in the British Medical Journal, authors from Imperial College London NHS Healthcare Trust stress the importance of accurately capturing and coding patient episodes.
EHRs may reduce medical liability for some errors, but could create new forms of medical liability and expose existing liability issues, says report.
Bill all three or get a denial: supply, injection, and illumination. Coding for photodynamic therapy (PDT) involves three key components, which means you should look into multiple CPT® codes to describe your claim appropriately. But this could jeopard...