Tag: HCPCS Coding

medical claim denial management

Enhancing Denial Management Strategies for Medical Practice

Claim denials pose a substantial threat to the financial health of medical practices. Effective medical claim denial management is crucial for protecting revenue, streamlining operations, and maintaining positive payer relationships. This comprehensive guide outlines a strategic approach to reducing denials, managing appeals, and safeguarding your practice’s financial stability, with a strong focus on effective medical […]
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improve medical coding quality

Improve Medical Coding Quality for Accurate Reimbursement

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 […]
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Compliance in medical coding

Navigating Regulatory Compliance in Medical Coding for Accurate Billing

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. […]
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ICD-10-CM Codes Spark Great Interest

ICD-10-CM Codes Spark Great Interest

Over the past few months, the folks at ICD10monitor have seen an increase in website searches regarding two specific ICD-10-CM codes: U07.1 (COVID-19) and F32.9 (Major depressive disorder, unspecified). Some say that this is a sign of the times, and that may be absolutely true, considering what has gone on in the past four months […]
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Identifying & Addressing Common Medical Billing Errors

Identifying & Addressing Common Medical Billing Errors Pre- & Post-Payment

It is estimated that as high as 80 percent of medical bills contain errors.1 As healthcare costs continue to rise, so too is the need for healthcare payers to reduce overspending resulting from avoidable billing errors and improper claims reimbursement. Given the sheer volume of claims submitted each day, capturing and reconciling discrepancies based off of […]
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CMS To Revamp Coding For New Medical Technology

CMS To Revamp Coding For New Medical Technology

Dive Brief CMS Administrator Seema Verma announced Thursday the agency will overhaul coding regulations that she argues have hindered beneficiary access to new medical technology. Medical device companies will now be able to apply for a new permanent Healthcare Common Procedure Coding System (HCPCS) code twice a year, instead of annually. CMS also recently eliminated […]
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21 New HCPCS Level II Codes

21 New HCPCS Level II Codes for April

The new codes include drugs for migraines, to initiate blood-clotting in patients on certain coagulants, chronic and hairy cell leukemia, and folic acid for chemotherapy patients. The home health codes help facilitate the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) Pioneer ACO initiative. New HCPCS Level II Codes […]
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CPT update

CPT 2020 and CPT 2021: Catch a Glimpse

Preview of CPT® Code Changes for 2020 and 2021 The CPT® Editorial Panel’s February 2019 meeting introduced several key updates set to take effect in CPT 2020 and 2021, including significant revisions, deletions, and additions across multiple specialties. Major Changes for CPT 2021 The most notable update is the revision of office and outpatient E/M […]
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