Category: Blog

HCPCS Level II Coding Cycles

CMS Implements Significant Updates to HCPCS Level II Coding Cycles and Procedures

The Centers for Medicare & Medicaid Services (CMS) announced that, beginning in January 2020, CMS will implement shorter and more frequent HCPCS Level II coding  cycles for requests to modify the Healthcare Common Procedure Coding System (HCPCS) Level II code set. Under the updated procedures, stakeholders will be able to submit code applications on a quarterly basis […]
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EVALI Code

New Code for E-Cigarette/Vaping Associated Lung Injury (EVALI Code)

Emergency release of the new EVALI code by CDC. On Dec. 9, 2019, the Centers for Disease Control and Prevention (CDC) published additional guidance regarding e-cigarette/vaping associated lung injury (EVALI Code). The new code is U07.0 (Vaping-related disorder). The CDC consulted with the World Health Organization (WHO) regarding an addition to the classification that would […]
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Artificial Intelligence in Medical Billing and Coding

How AI Streamlines Medical Billing and Coding

Advanced technology like AI is streamlining medical billing and coding procedures for enhanced customer experiences. Artificial Intelligence in Medical coding and billing is a crucial viewpoint of healthcare. Reports revealed that by 2021, the medical billing outsourcing market is predicted to touch $16.9 billion. The coding and billing functionality transmutes patient record information into regulated […]
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hidden medical billing costs

4 Ways to Rein In Your Practice’s Hidden Billing Costs

Sometimes, the biggest dangers are the ones we don’t see. A hippo yawning might appear tranquil, but that yawn is actually a sign of aggression. A high-end sports utility vehicle could roll away while parked if it’s missing a single part. In physician practices, there are multiple billing pitfalls that threaten practice revenue. For every […]
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Dermatology Coding Procedures

Explore Dermatology Coding Procedures Complexities

Part 1: Consider skin lesion removal type and depth, intent, and lesion location to avoid common dermatology coding procedures mistakes. Accurately dermatology coding procedures can seem like a daunting task. Code selection can be confusing because skin procedure codes require you to consider several factors such as the type of removal, lesion size and location, […]
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AI Can Help Health Plans

How AI Can Help Health Plans Become Member-Centric

Improving the customer experience is no longer an idea that’s relegated to the retail or hospitality industries. Now, the idea has gained traction across many industries, including healthcare. For health plans, improving the customer experience and providing member-centric care helps drive member acquisition and retention and improve reimbursement (via a better STARS rating). With so […]
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Medicare Claim Denials

Prevent Medicare Claim Denials in 2020

Medicare has been issuing beneficiaries new member cards with Medicare Beneficiary Identifiers (MBI) in place of Social Security Numbers (SSNs) for more than two years. 2019 was a phase-in period when Medicare would accept either a beneficiary’s Social Security Number or their new MBI on claims. Starting Jan. 1, 2020, CMS will reject any Medicare claim Denials […]
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Therapy Services Codes

2020 Therapy Services Code Updates

Updates to the list of Therapy Services Code that sometimes or always describe therapy services under Medicare Part B go into effect Jan. 1, 2020. Make sure your coding and billing staff are aware of the following updates impacting coding for physical therapy, occupational therapy, and speech-language pathology service claims. Biofeedback Coding Two new biofeedback training CPT® […]
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