Denied claims are a common challenge in the healthcare industry, with one-third of all submitted claims being denied or ignored upon initial submission. While this might sound discouraging, it also means that 66% of your claim revenue is still being received. However, the financial impact of denied claims is substantial, with hospitals losing an average […]
Fee-for-Service and Value-Based Care: Key Differences and Benefits
In 2021, 60% of healthcare payments were tied to value and quality-based care, while 40% originated from fee-for-service models. These two systems are often viewed as polar opposites in the healthcare industry. While the adoption of value-based care is increasing, fee-for-service remains a significant component of the healthcare payment landscape. It’s crucial to understand both […]
Effective July 2024: Important Medicare Policy Changes on Anesthesia and Sedation Coverage for Facet Joint Injections
The healthcare landscape is continuously evolving, with new legislation frequently impacting how medical practices operate. Among these, the No Surprises Act (NSA), introduced in January 2022, stands out due to its significant implications for all medical providers and facilities. Non-compliance can lead to penalties of up to $10,000, making it crucial for healthcare practices to […]
ICD-10 Coding for Neurological Conditions: Headaches, Migraines, Narcolepsy, and Hemiplegia
Discover the essentials of ICD-10 coding for neurological conditions such as headaches, migraines, narcolepsy, and hemiplegia. This guide provides detailed information and coding tips for healthcare practices to ensure accurate billing and efficient management of neurological cases. Headaches and Migraines: Understanding the Differences Headaches and migraines are common neurological complaints, yet they differ significantly in […]
Guidelines for Coding Nervous System Disorders and Pain Management in ICD-10
The ICD-10 coding guidelines for nervous system disorders are essential for accurate medical coding and billing. This article aims to provide an overview of the key guidelines and considerations for coding nervous system conditions, specifically focusing on Chapter 6 of the ICD-10-CM, which covers diseases of the nervous system. Dominant and Non-Dominant Side in Coding […]
Essential Nervous System Procedure Guidelines for Healthcare Practices
Going through the complexities of nervous system procedures requires a thorough understanding of the latest guidelines. This article focuses on essential nervous system procedure guidelines that are crucial for healthcare professionals to ensure accurate coding, compliance, and efficient practice management. From neurostimulation to burr hole procedures, these guidelines provide valuable insights to help streamline your […]
CPT Coding for Skin Lesion Excision in Dermatology
Accurate CPT coding for skin lesion excisions is crucial for dermatology practices to ensure appropriate billing and reimbursement. This guide will walk you through the necessary steps and considerations for coding benign and malignant skin lesions, ensuring you capture the right details for optimal coding. Understanding Skin Lesion Excision Coding CPT Codes Overview (11400-11646): The […]
CPT Guidelines for Nerve Blocks in Same-Day Surgery Coding
Navigating the intricacies of CPT coding, particularly concerning nerve blocks in same-day surgery, is crucial for medical coders and healthcare providers alike. Nerve blocks, essential for managing intraoperative and postoperative pain, pose specific challenges in billing under CPT guidelines. Understanding Nerve Blocks Nerve blocks involve injecting anesthetic medications near specific nerves to block pain signals. […]
Mastering Dermatology Billing: A Comprehensive Guide to Accurate Documentation and 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 […]
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 […]