On 5th March 2020, CMS has developed a second Healthcare Common Procedure Coding System (HCPCS) code that can be used by laboratories to bill for certain COVID-19 diagnostic tests to help increase testing and track new cases.
Read more »New Billing Codes for Coronavirus (COVID-19) Lab Tests
Coding Guidelines for Coronavirus for Medicare Beneficiaries
In 2nd week of March 2020, Congress passed the Coronavirus Preparedness and Response Supplemental Appropriations Act. The legislation will allow physicians and other health care professionals to bill Medicare fee-for-service for patient care delivered by telehealth during the current coronavirus public health emergency.
Read more »Undercoding: Avoid At Any Cost
Undercoding errors can statistically impact calculated error rates in the tens of millions of dollars. These statistics are used to calculate future Medicare payments and track trends in healthcare delivery.
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Take a Look at 2020 CPT Updates
There are 394 code changes in the 2020 CPT code set, including 248 new codes, 71 deletions, and 75 revisions. In making these updates, the CPT Editorial Panel considered broad input from physicians, medical specialty societies and the greater health care community.
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Key Points for Billing and Coding Critical Care Services
Medicare and commercial payers scrutinize the manner in which critical care services are billed. Documentation of medical necessity is crucial. Physicians can rely on expert coding and critical care medical billing services to bill critical care correctly based on the documentation.
Read more »How to use CPT CODE 99214 Correctly?
Medicare allows only the medically necessary portion of the visit. Even if a complete note is generated, only the necessary services for the condition of the patient at the time of the visit can be considered in determining the level of an E/M code.
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Key Role of Coder in Denial Management
Coders are the backbone of an organization’s fiscal health. Timely coding contributes to timely hospital revenue and cash flow, both of which are essential for a hospital to function.
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ASCs vs HOPDs – Understanding Payment Difference
Using Medicare as an example, when outpatient surgeries shift from an HOPD setting to a freestanding ASC, the Medicare payment methodology changes from the Outpatient Prospective Payment System (OPPS) to the ASC fee schedule.
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Deciphering 2020 CPT Code Changes for ASC
There are 394 code changes in the 2020 CPT code set, including 248 new codes, 71 deletions, and 75 revisions.
Read more »How Outsourcing Medical Billing Will Benefit Your Practice?
Medical billing can be a demanding and challenging task for small medical practices. For this reason, many physicians or practice managers make a choice to outsource their medical office billing to a professional medical billing company.
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