Category: Medical Coding

CPT codes play a pivotal role in the transition to value-based care

CPT® codes play a pivotal role in the transition to value-based care

In order for value-based healthcare to succeed, it is imperative that physician practices effectively articulate the medical services and procedures they provide. This underscores the vital role of the Current Procedural Terminology (CPT®) code set in driving the shift towards value-based care. According to the chair of the AMA/Specialty Society Relative Value Scale Update Committee (RUC), […]
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2024 ICD-10 Changes: How They Will Impact Your Practice

For the FY 2024 ICD-10-CM code set, the Centers for Medicare and Medicaid Services (CMS) have introduced 395 new diagnosis codes, deleted 25 codes, and revised 13 codes. Additionally, the 2024 Addendum has been updated with revisions to dozens of codes related to conditions such as osteoporosis with fractures, retinopathy, muscle entrapment in the eye, […]
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A Guide to the New ICD-10-CM Codes for 2024

A Guide to the New ICD-10-CM Codes for 2024

2024 ICD 10 CM codes : The volatility brought about by the COVID pandemic has gradually transitioned towards a semblance of stability in the coding landscape. Particularly noteworthy is CMS’s unexpected revelation of the smallest count of codes in recent times. A sum of 395 new billable codes has been incorporated for the year 2024, […]
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5 Trends That Will Shape Medical Coding

5 Trends That Will Shape Medical Coding

In the world of healthcare, medical coding plays a crucial role in ensuring accurate billing and reimbursement for services provided to patients. As we look ahead to 2023, there are several trends that are expected to shape the landscape of medical coding. Here are five of the most significant trends to watch for: 1. Increased […]
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New and Updated HCPCS Codes for July 2023

New and Updated HCPCS Codes for July 2023

Newly introduced as of July 1, 2023, are updated CPT® codes detailed in MLN Matters 13210, issued on June 13. Accompanying this, a supplementary document, Change Request 13210, offers more comprehensive insights. Included in the fresh set of codes are those related to COVID vaccination and its administration. Specifically, 0174A pertains to administering the Pfizer-BioNTech […]
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Medical Coding Strategies to Prevent Payer Denials

Medical Coding Strategies to Prevent Payer Denials

As a former emergency department physician from the U.K., this individual was well aware of claim denials and rejections, with payers frequently withholding or reducing payments. However, it was only when his personal insurance company, denied his medical claim for a vitamin D test that he decided to delve deeper into the issue. He found […]
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The Future of Healthcare Billing and Coding: What You Need to Know

The healthcare industry is constantly evolving, and with it, so are the processes and procedures that are involved in billing and coding. As we move towards a more digital and technology-driven world, it’s important for healthcare professionals to stay up-to-date with the latest trends and changes in the industry. In this blog post, we’ll explore […]
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Tips to Avoid 5 Common Coding Mistakes That Cost Revenue

Tips to Avoid 5 Common Coding Mistakes That Cost Revenue

Here are five common mistakes you should avoid to prevent revenue loss 1. Inappropriate medical Coding: Frequently, medical coding for evaluation/management services tends to be excessively aggressive or overly passive, leading to coding errors. These mistakes are primarily due to the misinterpretation of E/M coding guidelines and the fast-paced nature of the clinical environment. Aggressive […]
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