Category: Medical Coding

Intricacies-of-Evaluation-and-Management-Coding

Navigating E&M Code Changes

It is expected that the Centers for Medicare & Medicaid Services (CMS) will release a completely revamped version of the evaluation and management (E&M) codes by 2021, particularly for the office visit codes (999201-99205 and 99211-99215). In addition to the changes to the office visit codes, there were significant changes to the 2023 guidelines. These […]
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Boost Reimbursement with G2211 Add-On Code

Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this G2211 Code add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing HCPCS Level II codes on Jan. 1, 2024. […]
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Use-of-Z-Codes-to-Document-Social-Determinants-of-Health

Underutilization of Z-Codes: Impact on Documenting Social Determinants of Health

The utilization of Z-codes for recording social determinants of health is notably low, as indicated by two distinct studies. Although these codes were integrated into ICD-10 to aid healthcare establishments in documenting and monitoring social determinants of health, recent findings published in Health Affairs Scholar highlight their underutilization. The initial study, conducted by University researchers, […]
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7-Strategies-to-improve-medical-coding-quality

7 Strategies to Support Medical Coders Struggling with Quality and Accuracy

Help your medical coders facing difficulties in maintaining coding accuracy by implementing a focused strategy. Medical coders hold a crucial position in healthcare, translating intricate medical data into standardized codes essential for billing, research, and patient treatment. The importance of accurate and high-quality medical coding cannot be overstated, as errors may result in financial setbacks […]
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Physicians-face-dual-burden-between-patient-care-and-medical-coding

Clinicians Struggle with Medical Coding Amid Patient Care Responsibilities

Presently, healthcare professionals face growing administrative demands alongside their patient-focused duties. A pivotal challenge among these is medical coding, essential for various reasons. It ensures adherence to billing standards impacting reimbursements, meets quality metrics established by healthcare entities and insurers, and guarantees precision in diagnoses recorded for billing purposes. Yet, the task of accurate coding […]
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CMS-quarterly-updates-HCPCS-LEVEL-II-COde-2024

HCPCS Level II Code Update for January 2024

The Centers for Medicare & Medicaid Services (CMS) has implemented its proposal to introduce codes for the collection of Social Determinants of Health (SDOH). The latest update for the Healthcare Common Procedure Coding System (HCPCS) Level II, applicable from January 2024, is now accessible on the CMS website. This update comprises significant alterations, including the […]
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2023 ICD-10 Halloween codes

2023 Scary ICD-10 Halloween codes For Physician

With Halloween right around the corner, be on the lookout for some of these incidents that may require new ICD-10 codes. ICD-10 CM Code W49.01 – HAIR CAUSING EXTERNAL CONSTRICTION W49.01XA is a billable ICD code used to specify a diagnosis of hair causing external constriction, initial encounter. A ‘billable code’ is detailed enough to be used to […]
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