Clinical Documentation Archives

Optimize Billing Practices with Medical Billing Audits

A domestic medical billing audit is an operation that inspects and estimates the value and dependability of clinical documentation and the overall medical billing process. This technique closely examines health records upheld by the practice and evaluates medical billing data presented to the payers to make sure that the practice picks out, observes, and rectifies […]

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3 Coding Compliance Strategies to Improve Reimbursement, Quality

The Crucial Role of Medical Coding Compliance in a Value-Based World: Telling the Patient’s Story for Better Billing and Quality Care. Medical Coders: The Unsung Storytellers of Healthcare Medical coders play a critical role in hospitals, but their importance often goes unnoticed. They’re the storytellers behind the scenes, analyzing patient records, selecting billing codes, and […]

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Six Tips to Getting Paid for CPT Modifiers

In medical coding, CPT modifier are vital for accurate reimbursement of healthcare services. These special codes, attached to primary procedure codes, provide additional details about the complexity or extent of a service. However, using modifiers incorrectly can lead to claim denials and lost revenue. This blog post shares six key tips to help you get […]

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October 3, 2023
Blog, Medical Coding
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Increase Dental Practice Revenue: Avoid Coding Errors and Practice Pitfalls

Everyone desires to receive fair compensation for their hard-earned efforts. However, inaccuracies in coding and other procedural missteps can inadvertently diminish your earnings. Explore these strategies to boost the revenue of your dental practice. Have you noticed that you’re putting in extra hours but not seeing a corresponding increase in pay? Imagine working 10 hours […]

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2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

KEY TAKEAWAYS Denials rose to 11% of all claims last year, up nearly 8% from 2021. Revenue cycle leaders should place their focus on clinical validation denials to help ease the overall denials burden. A key defensive strategy for preventing denials is provider education. Revenue cycle leaders need to understand that clinical validation denials are […]

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December 7, 2022
Blog, Medical Coding
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Ensure Documentation Accuracy When Patient Volume Is High

Completing all necessary documentation to describe the individual’s current condition, treatment needs, interventions, and medications must be done with precision. The end of a calendar year and the beginning of a new one can be a busy time for healthcare practices, and this year is shaping up to be no different. In much of the […]

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October 10, 2022
Blog, Medical Coding
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ICD-10-CM Guideline Revisions Revealed for the year 2023

New guidelines remove ambiguity for some diagnosis coding in 2023. The ICD-10-CM Official Guidelines for Coding and Reporting is updated every year, but if you’re not in the habit of reviewing the guidelines at least annually, chances are your diagnosis coding is noncompliant and your claim denial rate is high. In the general session Diagnosis […]

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Coding Drives Up Medical Billing Costs in the US

August 8, 2022
Blog, Medical Billing
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Coding Drives Up Medical Billing Costs in US

Another study confirms that medical billing costs in the US significantly exceed those in similar countries, but researchers now know why: coding drives up US administrative spending. Complex coding structures in the US are driving up medical billing costs in the US, making it one of the most expensive countries to get paid, according to […]

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December 16, 2021
Blog, Medical Coding
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New Year’s Resolution: Decreasing Denials with Proactive Tactics

The cost to appeal is worth the claim reimbursement and modification of payer behavior. As we approach 2022, one of our new year’s resolutions should be to do what’s necessary to decrease denials. We know that payers and external auditors took a break during the pandemic, but now it’s open season for audits and denials. […]

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October 30, 2021
Blog, Medical Coding
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CPT Code Set Adds Code for J&J COVID-19 Vaccine Booster

AMA updated the CPT code set to accommodate the new mix-and-match COVID-19 vaccine booster strategy endorsed by the federal government. The update comes on the heels of a decision from the Federal Drug Administration (FDA) to authorize booster doses of Janssen’s COVID-19 vaccine. The federal agency has recommended a booster dose of the vaccine […]

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Tag: Clinical Documentation

Optimize Billing Practices with Medical Billing Audits

3 Coding Compliance Strategies to Improve Reimbursement, Quality

Six Tips to Getting Paid for CPT Modifiers

Increase Dental Practice Revenue: Avoid Coding Errors and Practice Pitfalls

2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

Ensure Documentation Accuracy When Patient Volume Is High

ICD-10-CM Guideline Revisions Revealed for the year 2023

New Year’s Resolution: Decreasing Denials with Proactive Tactics

CPT Code Set Adds Code for J&J COVID-19 Vaccine Booster

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