Category: Blog

5 Trends That Will Shape Medical Coding in 2023

5 Trends That Will Shape Medical Coding in 2023

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

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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Tips-To-Maximize-Medical-Billing-and-Coding-Efficiency

Tips To Maximize Medical Billing and Coding Efficiency

Ensuring precise claims processing and prompt reimbursements, healthcare practitioners rely heavily on efficient medical billing and coding procedures. The act of streamlining these functions holds the potential to not only heighten overall effectiveness but also to curtail administrative burdens and mitigate the risk of errors. Within this article, we will delve into a selection of […]
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Electrocardiogram (EKG) Coding Guidelines

Guidelines for Interpreting Electrocardiogram (EKG) Coding

The guidelines for interpreting EKGs could vary according to the specific treatment situation. Patients presenting at the emergency department (ED) to undergo an electrocardiogram (EKG or ECG) can present a coding challenge. The main issue revolves around how to accurately report the physician’s services for the patient. Is it appropriate to utilize the EKG CPT® […]
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Managing Patient Account Receivables

Revenue Cycle Strategies for Managing Patient Accounts Receivable

A Guide to Accounts Receivable (A/R) The healthcare practice’s Accounts Receivable (A/R) encompasses various complexities and subtleties. The Accounts Receivable process is continually evolving, presenting numerous challenges. Although A/R challenges may not solely determine success, improving A/R turnaround time can have a significant impact. Based on an MGMA Stat poll, 56% of medical groups reported […]
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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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Prior Authorization Reform Rule Proposals

CMS Unveils Contentious Prior Authorization Reform Rule Proposals

Physicians and healthcare experts are urging Medicare to lead reforms in the time-consuming prior authorization (PA) process, which often causes delays in patient care. However, they caution against excessive reform, as it could exacerbate the problem rather than improving it. The U.S. Centers for Medicare and Medicaid Services (CMS) have put forth two proposals for […]
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Telehealth benefits for Private Practices

How Telehealth Can Benefit Small Private Practices

Telehealth has gained widespread acceptance among numerous medical practices and hospitals owing to its convenience, accessibility, and effectiveness in curbing the spread of infectious diseases. However, it’s important to recognize that telehealth is not exclusive to large institutions; small practices can also reap its benefits. Telehealth, also known as telemedicine, revolves around utilizing technology to […]
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