Accurate Documentation and Coding for Effective Risk Adjustment Accurate documentation and coding are essential for effective risk adjustment, ensuring that healthcare providers are reimbursed appropriately and that patient care aligns with their clinical needs. In this guide, we’ll highlight common documentation errors and share tips for improving the accuracy of Hierarchical Condition Category coding. Cancer and Metastases […]
Key Billing Insights for Pain Management Practices: Avoiding Pitfalls and Enhancing Revenue
Billing in pain management is complex, requiring pain physicians to navigate unique coding challenges, payer requirements, and compliance standards. From proper documentation of single-use vials to understanding Evaluation and Management (E/M) code changes, staying informed on billing practices can directly impact a practice’s revenue and reduce risks of audits and penalties. Here are some critical […]
How NCCI Edits Can Help Reduce the $68 Billion in Annual Healthcare Billing Errors
According to Worldmetrics.org medical billing errors account for an estimated $68 billion in unnecessary healthcare revenue loss. Given this staggering figure, understanding the ins and outs of medical coding and billing becomes crucial for healthcare practices. Accurate documentation of services and procedures during patient visits can make the difference between receiving timely revenue or facing […]
Strategies to Minimize Denials and Maximize Revenue for Healthcare Practices
In healthcare practices, one of the most pressing concerns is managing claim denials. Denials not only reduce revenue but also burden staff with additional administrative tasks. For many practices, this challenge is compounded by the increasing number of denial codes and complex reasons for denials. According to industry experts, denials can range from 8% to […]
Navigating Behavioral Health Agency Credentialing and RCM Best Practices in New Mexico
In New Mexico, Behavioral Health (BH) agencies play a vital role in delivering specialized treatment and training to providers seeking independent licensure. These agencies provide an array of services, from comprehensive community support to opioid treatment programs. To effectively manage the complexities of Revenue Cycle Management (RCM) and credentialing, healthcare practices must stay compliant with […]
Facet Joint Interventions for Pain Management Coding
Effective pain management is crucial in treating chronic neck and back pain, and Facet Joint Interventions are key procedures in this realm. This guide explores the specifics of coding for these interventions, offering private practices essential information to navigate the complexities of medical billing effectively. Understanding Facet Joint Procedures Facet Joint Interventions target chronic neck […]
Ophthalmology Billing & Coding: Ultimate Guide 2024
In 2024, ophthalmology billing guidelines saw major updates. These changes are reshaping how we manage eye care. It’s crucial for professionals to keep up with the latest ophthalmology coding updates. This helps ensure smooth operations in your practice. The task of mastering eye care coding practices might seem tough. But, this guide aims to simplify […]
2024 CPT changes for Radiology
This information outlines changes to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes specific to radiology and imaging services for the year 2024. Here’s a breakdown of the key points: New Codes Added for 2024: Ultrasound of pelvis, hips, and spine for bone density measurement: A new code (0815T) has […]
2024 CPT changes for Podiatry
In terms of podiatry medical billing and coding procedures, 2024 is a critical year. It introduces a slew of noteworthy modifications, including updated Evaluation and Management (E&M) descriptions and newly proposed vaccine codes that are pending FDA approval. These changes emphasize how crucial it is to remain knowledgeable and flexible in the always changing healthcare […]
2024 CPT changes for Ophthalmology and Ophthalmologic Surgery
In 2024, there are some important updates in how medical procedures and visits are coded for Ophthalmology Practices. These changes affect various aspects of healthcare, from office visits to surgical procedures and vaccinations. Let’s take a closer look at what’s new and how it might impact medical practices. 2024 CPT Changes Overview for Ophthalmology The 2024 […]