Category: Blog

functional endoscopic sinus surgery codes

SNF Consolidated Billing Code Updates for 2018

The skilled nursing facility (SNF) consolidated billing (CB) file reflects new codes for 2018, as well as codes that are excluded from SNF CB for Medicare Part A claims payment. The SNF annual update file contains a comprehensive list of codes involved in editing institutional claims submitted to A/B Medicare administrative contractors (MAC) for services […]
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CODING: New FESS Codes for 2018

2018 brings us new functional endoscopic sinus surgery codes (FESS) which bundle a total ethmoidectomy with both a frontal sinusotomy and a sphenoidotomy with and without removal of tissue.  2018 CPT® also provides a new bundled code for a frontal and sphenoid endoscopic balloon dilation. On initial review of these new codes and the instructions […]
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4 Ways Hospitals Can Lower Claim Denial Rates

4 Ways Hospitals Can Lower Claim Denial Rates

This is evidenced by the Advisory Board’s 2017 revenue cycle benchmarks, which revealed the average 350-bed hospital saw denial write-offs increase from $3.9 million in 2011 to $7 million last year. To address the problem of increasing denials, healthcare organizations should focus on categorizing claims by type, as well as success of appeals, according to […]
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Trends in healthcare

Trends That Providers Can Expect From Healthcare In 2018

There are certainly going to be new ways to keep healthcare providers and health IT pros stay engaged and excited, and here are our top 10 picks.  For More Information: Gop Healthcare Bill: The Republican healthcare reform bill gained immense traction this year.  In the third attempt of healthcare bill, the lawmakers have insisted that […]
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CMS Releases Final OPPS Rule

CMS Releases Final OPPS Rule For 2018: 8 Things To Know

CMS has released its final 2018 Medicare Outpatient Prospective Payment System rule, which cuts payments to hospitals under the 340B Drug Pricing Program and authorizes Medicare to reimburse for knee replacement surgeries performed in outpatient facilities. Here are eight things to know about the 1,133-page final rule. Payment Update: CMS will increase OPPS rates by […]
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EHR and RCM

Understanding the Relationship Between EHR and RCM

Amongst the many benefits of implementing an electronic health records (EHR) platform, two are fundamental: increasing the overall quality of patient care and improving business efficiency and revenue. While it can often be difficult to visualize the connection between these two sides of hospital operations, these two outcomes are linked together. Transitioning to a new […]
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Blue Shield to Require Electronic Claim Submission

On October 26, Blue Shield of California notified physicians that for new or renewing provider agreements for 2018, it will begin requiring practices to submit their claims electronically. All claims, with the exception of those with an accompanying medical record, will be required to be submitted via electronic data interchange (EDI). A complete list of […]
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5 Common Remark Codes For The CO16 Denial

5 Common Remark Codes For The CO16 Denial

co16 denial code description: The CO16 denial code is used in medical billing to indicate that a claim has been denied because it lacks necessary information or contains errors. It falls under the category of “Contractual Obligation” (CO) denials, which means the responsibility falls on the provider to fix the issue and resubmit the claim. […]
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