Today the Centers for Medicare & Medicaid Services (CMS) finalized its national coverage policy for Ambulatory Blood Pressure Monitoring (ABPM). ABPM is a non-invasive diagnostic test that uses a device…
The Department of Justice is taking legal action against hospitals, health systems and technology companies for submitting false claims to Medicare and Medicaid pursuant to the Electronic Health Records Incentive…
The purpose of D5994: Perio Protect is a prescribed medical device used to treat patients who suffer from periodontal disease. The device is lab-created and used as a “tray” to…
The clock is ticking, and you’re trying to select the right E/M level from a drop-down menu in the EHR. Choose a level that’s too high, and you run the…
Zion Market Research Offers an 8-Year Forecast In 110+ Pages Research Report “Medical Coding Market by Classification System (Healthcare Common Procedure Coding System and International Classification of Diseases), by Mode (In-House and…
Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. Here are 15…
Medical coding is a key component of revenue cycle management. When done efficiently and accurately, it helps ensure hospitals are properly reimbursed for the services they provide. Here are 15…
Inappropriate outpatient antibiotic prescribing is a primary driver of antimicrobial resistance. Designing and evaluating antibiotic stewardship initiatives requires common measures of inappropriate prescribing that can be applied at the level…
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…
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…
Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical care you provide, but it is…
Q: Can you clarify when an evaluation and management (E/M) code can be billed with a physical on the same day? A: This is always a difficult coding scenario to…
Know when to apply these secondary codes. Foreign bodies (FBs) entering through one of the three ENT-specific pathways is a relatively common occurrence. While these situations are found primarily with…
Downtime events in hospitals that shut down the functionality of the electronic health record can result in serious patient safety risks, according to a recently published study in the Journal…
By the time the late President Lyndon B. Johnson signed the law establishing Medicare and Medicaid in 1965, the health care community was already figuring out how to maximize its…
Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are…