Category: Medical Coding

payer-strategies-and-the-long-road-to-payment

Payer Strategies and the Long Road to Payment

The average cost of debunking a denial is $25 per claim, not to mention the continuous challenges associated with attaining timely payment. Reviewing denial management strategies on a regular basis may prove a more efficient payment journey. Claim denials are a continuous challenge for the healthcare industry, as providers struggle with write-offs and the resources […]
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cms-issues-2023-ipf-pps-proposed-rule

CMS Issues 2023 IPF PPS Proposed Rule

  Provisions include topsy-turvy payment adjustments across the country. A proposed rule outlines payments, wages, and policies in fiscal year (FY) 2023 for inpatient psychiatric facilities paid under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS). The Centers for Medicare & Medicaid Services (CMS) issued the proposed rule March 31 and is accepting public […]
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get-to-the-heart-of-coding-tavr

Get to the Heart of Coding TAVR

Solidify your understanding of aortic valve disease and how to report this life-changing treatment. Transcatheter aortic valve replacement (TAVR) is a minimally invasive cardiac procedure to replace a diseased aortic valve in a person’s heart. The most common reason to undergo TAVR is aortic stenosis, which is an abnormal narrowing of the aortic valve opening […]
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professional-hospital-e-m-charge-index-continued-to-grow-in-2021

Professional, Hospital E/M Charge Index Continued to Grow in 2021

In addition to the hospital E/M charge index rising, prices for professional evaluation and management, surgery, medicine, and radiology services increased last year. The median charge index for hospital evaluation and management (E/M) visits increased by 7 percent during the COVID-19 pandemic, according to a white paper from FAIR Health. The FH Medical Price Index […]
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aha-coding-clinic-now-available

AHA Coding Clinic Now Available

Spring brings Coding Clinic Guidance. Spring has sprung, and that brings the first American Hospital Association (AHA) Coding Clinic on ICD-10-CM/PCS issue of 2022. There are a wide range of topics and guidance. Now that we are receiving biannual coding updates, we begin April this year with some new codes, and some changes that are […]
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are-you-using-modifier-25-correctly

Are You Using Modifier 25 Correctly?

modifier 25 : Oftentimes a patient’s “Oh, by the way …” comment turns an encounter that was scheduled as a preventive medicine visit or a minor office surgery into something more involved. When the provider goes above and beyond the physician work normally associated with a billable service or procedure, you may be able to […]
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cms-updates-hcpcs-level-ii-for-q2

CMS Updates HCPCS Level II for Q2

Medical Coding Updates and Insights Unveiled Effective April 1, 2022, the HCPCS Level II code set, which is employed to record medical services and provisions, will encompass the integration of 37 novel codes. Furthermore, the second quarter revision encompasses the elimination of five codes and a refinement of the description for one modifier. Lay Terms […]
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key-factors-when-coding-drug-screenings

Key Factors When Coding Drug Screenings

Dodge denials for drug testing by knowing which details demand attention. How often do you experience denials when it comes to your definitive drug testing? If the answer is often, this article may provide some answers to why that might be happening. Many payer policies have very clear guidelines, both medical and reimbursement, that dictate […]
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get-the-faqs-for-cpt-changes

Get the FAQs for CPT® Changes

FAQs for CPT Changes in 2022 – AAPC’s senior VP of products answers frequently asked questions about new, revised, and deleted CPT® codes for 2022. This month, I will answer questions asked during my Nov. 23, 2021, webinar 2022 CPT® Coding Updates. This webinar shed light on CPT® code updates, why codes were updated, how […]
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