As unpleasant as the task may seem, a medical record audit of your physician practice is akin to the best kind of medicine. AMA Digital Health Study, 2019 Explore insights…
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…
More than three quarters of large companies today have a “data-hungry” AI initiative under way — projects involving neural networks or deep-learning systems trained on huge repositories of data. Yet,…
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…
CMS report is based on 2016-2017 data. It’s been two years since the American Hospital Association (AHA) shouted from the rooftops that documentation by any interprofessional team would be accepted…
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…
CMS’s IMM sends mixed messages to providers. The Important Message from Medicare (IMM) has changed significantly in its latest reiteration, and the IMM now must be presented to both Medicare…