Tag: Medical Coding

Healthcare fraud in medical coding

Healthcare Fraud in Medical Coding: Upcoding, Unbundling, and Emerging Challenges

Healthcare fraud in medical coding, particularly through practices like upcoding and unbundling, has become a major concern for medical coding and billing professionals. A recent healthcare market research survey found that 90% of respondents view upcoding as a significant ethical challenge Upcoding involves assigning higher-level codes to medical services than are warranted, leading to inflated […]
Learn More
ICD-10-CM and PCS code

ICD-10-CM & PCS Code Changes Every Medical Coder Needs to Know

The recent ICD-10-CM and PCS code updates, let’s delve into a mixed bag of relevant topics. One significant change allows us to assign severity levels for certain eating disorder diagnoses. For anorexia nervosa (both restricting and binge eating/purging types), bulimia nervosa, and binge eating disorder, we can now specify the following severity levels: Mild Moderate […]
Learn More
ICD-10 Updates

Decoding the Latest ICD-10 Updates

The International Classification of Diseases, Tenth Revision (ICD-10), is the cornerstone of modern medical diagnosis coding. Staying informed about ICD-10 Updates is crucial as healthcare becomes more complex and data-driven. Understanding the changes in ICD-10 is essential for everyone involved—from healthcare providers and medical coders to hospital administrators and insurance companies. Every year, the World […]
Learn More
ICD-10 For Natural Disaster

ICD-10 Codes Related to Natural Disasters

The International Classification of Diseases, 10th Revision (ICD-10), is a standardized medical classification system developed by the World Health Organization (WHO). It categorizes diseases, injuries, and other health conditions, including ICD-10 Codes for Natural Disasters. For natural disasters, the ICD-10 provides specific codes to classify related injuries and health issues. Here are some of the […]
Learn More
Prevent Coding and Billing Errors

Preventing coding and billing errors can reduce claims denials

Accurate medical coding and billing are essential components of a healthcare practice’s financial health. When codes for procedures and diagnoses are recorded correctly, providers can receive timely reimbursements for the services they deliver. However, Prevent coding and billing errors can lead to claim denials, delays in payments, and increased administrative burden This blog post will […]
Learn More
2024 ICD-10-CM Code

ICD-10-CM Code Changes: What You Need to Know

The healthcare industry is no stranger to constant updates, especially when it comes to coding and billing. As medical knowledge advances, disease trends change, and the healthcare landscape evolves, the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) update the 2024 ICD-10-CM Code set every year Healthcare providers, […]
Learn More
Healthcare online Forms

Paperless Healthcare: 5 Reasons to Transition to Online Healthcare Forms

The healthcare industry has long been burdened with paperwork, from patient intake forms to insurance documentation. While many healthcare providers have already adopted Electronic Medical Records (EMRs), there’s a growing realization that going paperless can extend far beyond just digitizing patient records. One significant area where healthcare can continue to evolve is through the use […]
Learn More
2024 Medical Coding Updates

2024 Coding Updates: Navigating New CPT, HCPCS, and ICD-11 Changes

In 2024, healthcare providers, medical coders, and revenue cycle management (RCM) professionals need to stay up-to-date on 2024 medical coding updates. Several updates have been made to Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-11) by the American Medical Association (AMA), the Centers for Medicare & Medicaid […]
Learn More
x