Midland Memorial Hospital agreed to pay over $555,000 for a medical coding error that resulted in claims being sent out for reimbursement from the government even though patients did not…
Despite skepticism, artificial intelligence (AI) can be a boon for physicians…but some improvements are needed first. Notably, AI algorithms need to be validated, and bias toward particular groups of patients…
By April of last year, seemingly every news station in American was featuring the heroic efforts of physicians, nurses, and other clinicians fighting COVID-19. These providers transformed healthcare, implementing telehealth…
Knee ligaments connect the bones and cartilage, and hold and support the knee joint. Any mild tear in ligaments may severely limit the movement of the knees. Most commonly occurring…
According to published results, orthopedic residents who received formal medical coding education better identified proper billing codes for common procedures compared with residents who received no coding education. Researchers at…
After the tumultuous transition to the 10th International Classification of Diseases, simply saying the phrase “ICD-11″ is liable to strike fear in the hearts of medical providers across the country.…
Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about…
Sunday morning, I received an email from my father’s assisted living facility, indicating that several residents and staff had tested positive for COVID-19 during their newly implemented routine testing of…
Most of the physicians lose a significant amount of revenue every year due to minor and major mistakes that cause errors while filing medical claims. A minor write-off in physician…
There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want…
Podiatry coding is becoming increasingly complicated, and even the smallest reporting mistakes can lead to claim denials and reduced reimbursement. Worse, the stakes tend to escalate, with minor unchecked errors taking…
Get maximum reimbursement for treating asthma with the right codes. Getting paid requires accurate documentation and selecting the correct codes. In our Coding Case Studies, we will explore the correct…
"Our goal was to develop a single source of truth that is user-friendly, dynamic, and easily accessible," said Jeannette Wood, vice president of revenue cycle management for Privia Health. A…
Despite modest improvements in their safety performance over the past decade, the electronic health record (EHR) systems used in US hospitals fail to detect up to 1 in 3 potentially…
The COVID-19 pandemic is putting strain on the healthcare system, but accurately capturing data and documenting cases of the novel coronavirus can help ease the burden on providers. COVID-19 coding…
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…