Category: Medical Coding

Top-Challenges-for-Care-Management-Coding-in-2023

Top Challenges for Care Management Coding in 2023

Providing care management services, including chronic care management (CCM) and principal care management (PCM), is not easy. The first overarching challenge is that not enough patients actually participate in care management with a primary care physician. In fact, A recent report from the Primary Care Collaborative and the American Academy of Family Physicians’ more Americans […]
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AMA-Releases-2023-CPT-Errata

AMA Releases More 2023 CPT® Errata

E/M, Gastro, and Lab Coders, take note. The American Medical Association (AMA) announced some last-minute corrections to the CPT® code set effective Jan. 1, 2023. Add these to your code book, along with the previously released corrections, to ensure you start the year off right with accurate codes and guidelines. Evaluation and Management (E/M) In […]
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Guide-to-Coding-and-Documentation-Best-Practices

Guide to Coding and Documentation Best Practices

The difference between a financially and clinically successful practice and one that is struggling often comes down to whether they have the code right and document thoroughly. Changes in 2021 to major coding categories, such as evaluation and management (E/M) coding for office visits means major change that can hamper your operations if not done […]
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HCC Coding for Post-Sepsis Syndrome

HCC Coding for Post-Sepsis Syndrome

hcc medical abbreviation: In medical terminology, “HCC” commonly stands for “Hepatocellular Carcinoma.” This is the most common type of primary liver cancer, which originates in the hepatocytes, the main type of liver cell. It’s important to note that medical abbreviations can vary depending on context, so if you encounter “HCC” in a different context, it’s […]
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Payers-Wrongly-Cutting-Payments-To-Physicians-For-EM-Services

Payers Wrongly Cutting Payments To Physicians For E/M Services

Payers have been wrongly cutting payments to physicians for evaluation-and-management (E/M) services—often automatically through the use of claim-editing algorithms. A new AMA resource helps physicians fight back against health insurer downcoding. Downcoding happens when a payer changes a claim to a lower-cost service than what was submitted by the physician, leading the practice to get […]
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ICD-10-CM Codes for Symptoms of Diabetes Mellitus

ICD-10-CM Codes for Diabetes Mellitus Symptoms

In 1991, International Diabetes Federation (IDF) & World Health Organization (WHO) combine to create World Diabetes Day (WDD) on November 14 and we take this day to spread awareness and education on Diabetes, a chronic disease where pancreas won’t produce enough insulin which leads to serious health issues. Many physician and health providers will struggle […]
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