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…
Alexander Miller, M.D., a dermatologist in Yorba Linda, Calif., has a simple message for colleagues grappling with the new ICD-10 codes: Don't panic! "It's just a matter of restructuring one's…
The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code…
Central Learning's national 2016 ICD-10 coding contest highlighted the converse relationship between coding accuracy and productivity across inpatient, ambulatory and emergency settings. Central Learning is a web-based coding assessment application,…
Vaccine administration is an important element of primary care practice, and a critical contribution to preventive care public health. But as vaccine and overhead costs continue to rise—particularly for private…
Reimbursement for evaluation and management (EM) services is often the most challenging for primary care physicians and their billing staff. The most common EM codes are based on location, patient…
Medical billing and coding companies in the US are gaining popularity with their efficient services. Small private practices and clinics that want to minimize claim denials and rejections and ensure…
As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10. We are sharing these insights…
Payer software vendor and claims clearinghouse TriZetto Provider Solutions has seen a small uptick in insurers rejecting providers’ ICD-10 claims as the new code set enters its third week. Overall,…
How lenient are major health insurers willing to be when it comes to accepting providers' ICD-10 claims? Humana and UnitedHealthcare are giving latitude in the specificity of the new codes,…
Unless you've been living in a cave, you are probably aware that come Oct. 1, 2015, the old ICD-9 coding system will be completely replaced with a "newer version": ICD-10.…
In just a few short weeks, the landmark ICD-10 transition that has been anticipated and delayed countless times will arrive on Oct. 1, 2015. With it comes the pressure to…
Imagine that a federal agency called the Centers for Medicare & Medicaid Services, responsible for insuring about one-third of the nation, tried to build a national health insurance exchange and…