Category: Blog

ICD-10-CM and PCS code

ICD-10-CM & PCS Code Changes Every Medical Coder Needs to Know

The recent ICD-10-CM and PCS code updates, let’s delve into a mixed bag of relevant topics. One significant change allows us to assign severity levels for certain eating disorder diagnoses. For anorexia nervosa (both restricting and binge eating/purging types), bulimia nervosa, and binge eating disorder, we can now specify the following severity levels: Mild Moderate […]
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99211 cpt code

You need to know about 99211 CPT code: Guide

Navigating the intricate landscape of medical billing and coding demands a firm grasp of Current Procedural Terminology (CPT) codes. One of the most commonly used yet frequently misunderstood codes is CPT 99211. This low-level evaluation and management (E/M) code is employed for services rendered by healthcare providers, typically in outpatient settings. While it might appear […]
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RCM Outsourcing

Healthcare: The Role of RCM Outsourcing and Technology

The U.S. healthcare industry, marked by its global leadership in spending, faces mounting pressures due to evolving care models, supply chain disruptions, regulations, labor shortages, and rising costs. To navigate these challenges, healthcare leaders are prioritizing quality care delivery while also optimizing administrative operations, including revenue cycle management (RCM). Outsourcing RCM has become a key […]
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Accounts receivable services

The Crucial Role of Accounts Receivable Services in Healthcare Practice

Accounts receivable (AR) services are often overlooked but play a crucial role in the financial health of any business. These services involve managing the process of collecting outstanding payments from customers for goods or services sold on credit. Effective AR management can significantly impact a company’s cash flow, profitability, and overall financial stability. The Importance […]
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Medical Documentation for Better Reimbursement

5 Key Ways to Improve Medical Documentation for Better Reimbursement

Providers and coders should work together to maximize reimbursement by ensuring accurate coding, which is validated by thorough medical documentation. By focusing on ways to improve medical documentation for better reimbursement, providers can enhance patient care and ensure accurate reimbursement. Here are five ways to improve documentation, patient care, and reimbursement: 1.  Avoid EHR Shortcuts […]
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Front-End Revenue Cycle Management

The Importance of Front-End Revenue Cycle Management in Healthcare

The success of a healthcare provider’s financial performance hinges heavily on the efficiency of its front-end revenue cycle management. While the mid and back-end processes, such as coding, billing, and denials management, often receive significant attention, it’s crucial to recognize the profound impact of pre-encounter activities on overall revenue cycle efficiency. Front-end revenue cycle encompasses […]
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Cyberattacks on healthcare organizations

Cyberattacks on Healthcare Organizations Rise, Disrupting Patient Care

A new survey reveals a significant rise in cyberattacks on healthcare organizations since 2023. These attacks have led to substantial disruptions in patient care, with the average attack costing organizations nearly $1.5 million. According to the survey, 92% of healthcare IT and security professionals reported at least one cyberattack in the past year, up from […]
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medical claims processing

The Power of Business Process Automation in Medical Claims Processing

Medical claims processing has traditionally been a labor-intensive and error-prone task, involving manual data entry, verification, and adjudication. However, the advent of Business Process Automation (BPA) has revolutionized this process, making it more efficient, accurate, and cost-effective. Beyond the Basics: Advanced BPA Features While the core functionality of BPA in medical claims processing involves automating […]
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