Tag: Medical Coding

IOTA Model

Kidney Disease Patients: Proposed Rule Aims to Increase Transplants

The organ transplant industry, like every other sector (kidney transplants IOTA model), is not free from racial disparities,” remarked U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra. “Black Americans face a disproportionate burden of life-threatening kidney disease, yet they receive a smaller share of kidney transplants. The Biden-Harris Administration is implementing concrete […]
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Radiology RCM Strategies

Radiology RCM Strategies for Success in a Changing Landscape

The field of medical Specialties, with its cutting-edge technology and intricate procedures, presents a unique environment for radiology RCM. While it offers the potential for significant success, navigating the RCM landscape in radiology requires a keen understanding of the industry’s specific challenges. This includes navigating the complexities of billing and coding, keeping pace with evolving […]
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Medical coding guide

14 Things To Know About Medical Coding

In this blog, you should know why healthcare providers need to be aware of the medical coding guide. 1. What is Medical Coding? Medical coding is the process of translating medical diagnoses, procedures, and services into universal alphanumeric codes for proper documentation and billing purposes. 2. Importance of Accuracy: Accurate medical coding is crucial for […]
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modifier 58 vs modifier 78

Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 vs Modifier 78:  Modifier 58: Same underlying condition, planned or unplanned additional procedure. Modifier 78: New problem caused by the initial surgery (complication) requiring a return to the OR. Medical Coders often struggle to differentiate between modifier 58 (staged/related procedure) and modifier 78 (unplanned return to OR). Let’s break down the key differences […]
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future medical coding 2024

6 Key Trends Shaping the Future of Medical Coding in 2024

Medical coding is a dynamic field, driven as much by technological advancements as by healthcare practices and regulatory changes. As we are moving into 2024, we can see that several important trends are shaping the future of this important field. Future of Medical Coding  2024: 1. Rise of Artificial Intelligence (AI) and Machine Learning (ML) […]
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ICD-10-2024-Most-Significant-Changes

ICD-10 2024: A Deep Dive into the Most Significant Changes

Greetings and welcome to the latest edition of our healthcare coding newsletter! In order for us to remain abreast of the ever-evolving landscape of medical documentation, we must stay up-to-date with updates to the International Classification of Diseases, Tenth Revision (ICD-10) from time to time. In this article, we will take a closer look at […]
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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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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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Top 5 Ways Your Healthcare Organization Benefits from Outsourcing Medical Coding

Top 7 Ways Outsourcing Medical Coding Benefits

Medical coding plays a crucial role in managing the administrative aspects of your organization. It’s evident that without precise medical coding, obtaining reimbursement from insurance companies and third-party entities becomes a challenge. Both under coding and over coding can lead to revenue losses for your organization. While there are avenues for appeals in case of […]
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