Category: Blog

2023 ICD-10 Halloween codes

2023 Scary ICD-10 Halloween codes For Physician

With Halloween right around the corner, be on the lookout for some of these incidents that may require new ICD-10 codes. ICD-10 CM Code W49.01 – HAIR CAUSING EXTERNAL CONSTRICTION W49.01XA is a billable ICD code used to specify a diagnosis of hair causing external constriction, initial encounter. A ‘billable code’ is detailed enough to be used to […]
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5-tips-you-need-to-know-for-Medicare-Advantage-Plans

Medicare Advantage Plans: What You Need to Know

Uncertain about the details of Medicare Advantage? Here’s what you need to know. The Medicare open enrollment period, running from Oct. 15 to Dec. 7 annually, is now underway. This gives you the chance to make adjustments to your current Medicare coverage. One potential change worth considering is transitioning from original Medicare (Parts A and […]
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How-to-avoid-financial-burden-from-surprise-medical-bills

Financial planning for Surprise Medical Bills

Costly medical emergencies have the potential to impose a significant financial strain. It’s important to recognize that unexpected and expensive health issues can affect anyone. While we can’t predict when or if we’ll face an unforeseen health challenge, we can take steps to be financially ready. Below are some approaches to kick start your preparations. […]
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Decline in Top Star Ratings: A Closer Look at MA, Part D Plans in 2024

In 2024, approximately 42% of Medicare Advantage plans offering prescription drug coverage are projected to achieve four or more stars, a decrease from the 51% recorded this year and the 68% in 2022, according to data released by the CMS on Friday. The five-star rating system, established by the Affordable Care Act, serves to assist […]
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2024-ICD-10-CM-code-updates

Comprehensive Guide to ICD-10-CM Codes for Various Medical Conditions

The Centers for Disease Control and Prevention (CDC) has recently unveiled the ICD-10-CM code updates for the fiscal year 2024, effective since October 1, 2023. This comprehensive update encompasses a staggering 433 changes, including 395 additions, 25 deletions, and 13 revisions, resulting in a total of 78,044 codes within the ICD-10-CM set for FY 2024. […]
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4 Revenue Cycle Startegies that Conquer Denials Management

Ensuring effective denial management continues to be the foremost concern for revenue cycle leaders, emphasizing the increasing demand for streamlined processes and vigilant oversight. Over the recent months, there has been a notable surge in challenges related to denials management, presenting a multifaceted and costly issue for revenue cycle leaders. Seeking Cost-Effective Solutions? Explore the […]
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Advancing Prior AuthorizationThe Evolution in CMS Regulation

Advancing Prior Authorization: The Evolution in CMS Regulation

The Centers for Medicare & Medicaid Services (CMS) have embarked on a decisive move by enforcing a standard for Advancing prior authorization. In a conversation with the Senior Director of Utilization Management, we discussed the potential implementation and impact of this proposed mandate, slated for enactment in January 2026 The Predicament of Prior Authorization The […]
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Top ACA Compliance Mistakes to Avoid in 2024

 As the 2024 calendar year’s open enrollment period swiftly approaches, it is imperative for organizations to focus on ensuring compliance with the Affordable Care Act (ACA) in order to guarantee that their procedures for managing health plans are well-executed. Despite nearly a decade of ACA reporting, organizations still tend to make errors in Affordable Care […]
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