In the complex world of healthcare, accurate medical coding is the linchpin of a healthy revenue cycle. For US-based medical practices, hospitals, and billing companies, efforts to Improve Medical Coding Quality directly translate to timely and accurate reimbursements. Errors in coding can lead to denied claims, compliance issues, and significant financial losses. This blog post […]
The healthcare industry is on the brink of a technological transformation, with artificial intelligence (AI) driving unprecedented efficiency and accuracy in medical coding. As we enter 2025, AI-powered automation is no longer just a trend—it is becoming the backbone of modern medical coding operations. From accelerating coding workflows and minimizing human error to ensuring compliance […]
Medical coding and billing are critical components of the healthcare revenue cycle. They ensure that healthcare providers receive proper reimbursement for the services rendered. However, the ever-evolving regulatory landscape, shifting payer policies, and technological advancements present numerous Medical Coding & Billing Challenges. These challenges significantly impact the efficiency and accuracy of the revenue cycle. As […]
Assist physicians and patients in gaining a precise comprehension of the situation. At orthopedic practices, coders frequently encounter a common question from patients: “Why does my invoice for an office visit include a surgical code?” This query is entirely reasonable, given that a patient was examined in the clinic, treated for a fracture, and later […]
Modifiers 52: Professional fee-for-service guidelines for modifiers do not apply in the clinical setting. Reduced, Failed, Aborted, Aborted… which one? What are the requirements for using modifiers 52, 73 and 74? These questions are common in the coding center world, and the answers never seem to be clear. Confusingly mix up the medical code instructions […]
Explore the intricacies of codes for a better understanding of regulatory compliance in medical coding. Healthcare billing and documentation are based on medical coding. An accurate representation of the patient’s health journey, appropriate reimbursements, and avoiding potential legal pitfalls are crucial to ensuring accurate representation of the patient’s health journey, not just an administrative formality. […]
CHICAGO – Much of remote digital health depends on the Current Procedural Terminology, or the CPT code set, which opened the door to payment for remote patient monitoring and remote therapeutic monitoring. Providers should be aware of CPT changes, especially for any codes that may be going away at the end of the public health […]
In essence, rediology coding is the process of translating medical procedures performed in radiology into universal alphanumeric codes. These codes are crucial for billing purposes, as they determine the reimbursement received by healthcare providers from insurance companies. Adhere to the guidelines provided by CPT®, ACR, and payers to ensure precise reporting and appropriate reimbursement. Diagnostic […]
The CPT® 2022 edition incorporates a total of 249 novel codes, along with 93 codes that have been revised, and 63 codes that have been removed. Every segment of the CPT® code set has undergone modifications to codes and guidelines. The most substantial revisions are observed in evaluation and management (E/M) codes, spine-related procedures such […]
The need to improve patient access to mental and behavioral health services is undeniable, and tools from the AMA and others are available to help primary care practices integrate these services into their workflow and ensure they are properly paid for these services. When North-western Medicine needed to provide greater access to behavioral health services […]