For some coders, confusion exists when Critical Care Coding for critical care services. Code 99291 is used for critical care, evaluation, and management of a critically ill or critically injured patient, specifically for the first 30-74 minutes...
More InfoHealthcare organizations are increasingly becoming conscious about improving costs as well as the quality of service to consumers. Technology is growing at an unimaginable speed and the impact it has on every sector is unfathomable. A report by...
More InfoFor anyone working in a medical office, the billing and collection process is considered to be one that is quite taxing and time-consuming. This results in the occurrence of errors and uncollected revenue. Medical Billing companies face various...
More InfoJust like our patients, proper OB coding and billing for obstetric patients can be…complicated. As a coding instructor and compliance auditor, I field a lot of questions from new students and experienced billers alike. In this article, I’ll break...
More InfoNovitas Solutions recently issued a Modifier 50 Fact Sheet, reminding medical coders of the proper use for this CPT payment modifier. The Medicare Administrative Contractor (MAC) for jurisdictions H and L warns that, effective for Part B claims...
More InfoHealthcare organizations have a tremendous opportunity to harness artificial intelligence in an area that may not seem flashy but is important nonetheless: revenue cycle management. Although 94 percent of companies firmly believe AI can give...
More InfoThe House Energy and Commerce Committee passed the No Surprises Act with a provider-backed amendment adding an arbitration clause Wednesday afternoon. It will now head to the full House for consideration. Dive Brief: The House Energy and Commerce...
More InfoPresident Trump issues an executive order on kidney disease and a new payment model for radiation therapy. As reported by Dr. Ronald Hirsch on the RACmonitor.com Monitor Mondays webcast, last week the president issued an executive order on kidney...
More InfoAn overwhelming majority (92 percent) of patients want to know their payment responsibility prior to visit. This statistic, from InstaMed’s seventh Trends in Healthcare Payments Report, highlights the recent shift in patient financial engagement...
More InfoElectronic medical records (EMR) introduced a new era of healthcare management. Should healthcare operators want to venture farther, they may need to consider digitizing their internal operations, as well. Hospitals and clinics present extremely...
More InfoOPPS claim edits slated to take effect this month will now start in October to give providers more take to adjust to billing changes for off-campus provider-based departments. CMS is postponing the implementation of outpatient prospective payment...
More InfoWhen you have distinct, separate procedures, know which modifiers procedures will get the claim paid in full. Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of...
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