Category: Medical Coding

2020 CPT Code Changes

Deciphering the 2020 CPT Code Changes

The American Medical Association (AMA) publishes the Current Procedural Terminology code set changes every year, usually in September, for the upcoming new year. The changes impacting CPT 2020 were released on September 4, 2019. There was a total of 394 CPT code changes, of which, 58 affect the surgery center market. 2020 CPT Code Changes […]
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New Year: ICD-10 Celebration Codes

Let the countdown for New Year 2020 begins. This New Year will bring you a thrill of excitement for many people as they prepare to celebrate in 2020. For health care providers, treating patients never stop even for the holiday season. Here is the list of ICD-10 codes that may crop up during the ringing […]
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HCPCS Level II Coding Cycles

CMS Implements Significant Updates to HCPCS Level II Coding Cycles and Procedures

The Centers for Medicare & Medicaid Services (CMS) announced that, beginning in January 2020, CMS will implement shorter and more frequent HCPCS Level II coding  cycles for requests to modify the Healthcare Common Procedure Coding System (HCPCS) Level II code set. Under the updated procedures, stakeholders will be able to submit code applications on a quarterly basis […]
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EVALI Code

New Code for E-Cigarette/Vaping Associated Lung Injury (EVALI Code)

Emergency release of the new EVALI code by CDC. On Dec. 9, 2019, the Centers for Disease Control and Prevention (CDC) published additional guidance regarding e-cigarette/vaping associated lung injury (EVALI Code). The new code is U07.0 (Vaping-related disorder). The CDC consulted with the World Health Organization (WHO) regarding an addition to the classification that would […]
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Artificial Intelligence in Medical Billing and Coding

How AI Streamlines Medical Billing and Coding

Advanced technology like AI is streamlining medical billing and coding procedures for enhanced customer experiences. Artificial Intelligence in Medical coding and billing is a crucial viewpoint of healthcare. Reports revealed that by 2021, the medical billing outsourcing market is predicted to touch $16.9 billion. The coding and billing functionality transmutes patient record information into regulated […]
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Dermatology Coding Procedures

Explore Dermatology Coding Procedures Complexities

Part 1: Consider skin lesion removal type and depth, intent, and lesion location to avoid common dermatology coding procedures mistakes. Accurately dermatology coding procedures can seem like a daunting task. Code selection can be confusing because skin procedure codes require you to consider several factors such as the type of removal, lesion size and location, […]
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AI Can Help Health Plans

How AI Can Help Health Plans Become Member-Centric

Improving the customer experience is no longer an idea that’s relegated to the retail or hospitality industries. Now, the idea has gained traction across many industries, including healthcare. For health plans, improving the customer experience and providing member-centric care helps drive member acquisition and retention and improve reimbursement (via a better STARS rating). With so […]
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Medicare Claim Denials

Prevent Medicare Claim Denials in 2020

Medicare has been issuing beneficiaries new member cards with Medicare Beneficiary Identifiers (MBI) in place of Social Security Numbers (SSNs) for more than two years. 2019 was a phase-in period when Medicare would accept either a beneficiary’s Social Security Number or their new MBI on claims. Starting Jan. 1, 2020, CMS will reject any Medicare claim Denials […]
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