The American Medical Association (AMA) manages the Current Procedural Terminology (CPT) codes, which are pivotal in documenting various medical procedures and services. Within OB/GYN, these codes play a crucial role in accurately billing for antepartum, delivery, and postpartum phases of maternity care. Understanding the Challenges of Delivery Coding Coding for deliveries in OB/GYN presents unique […]
Delivery Codes in OB/GYN Medical Coding
The American Medical Association (AMA) manages the Current Procedural Terminology (CPT) codes, which are pivotal in documenting various medical procedures and services. Within OB/GYN, these codes play a crucial role in accurately billing for antepartum, delivery, and postpartum phases of maternity care. Understanding the Challenges of Delivery Coding Coding for deliveries in OB/GYN presents unique […]
Denial Code CO45 in Medical Billing: Causes, Corrections, and Collections
According to AARP, nearly 15 percent of all claims get denied, amounting to over 200 million claim rejections each day. However, there are ways to avoid claim rejections and keep your revenue flowing. One common denial that healthcare organizations often struggle with is denial code CO-45. This article aims to provide a comprehensive understanding of […]
Understanding Denial Codes CO11, CO15, and CO16: Tips for Reducing Claim Denials
Medical billing is a complex and often challenging aspect of healthcare administration. According to a survey conducted by the American Hospital Association, 89% of respondents reported an increase in their medical billing payment denials, with 51% noting a significant rise in such denials. Navigating the intricacies of claim denials can disrupt your workflow, but it’s […]
Mastering Medical Necessity: Best Practices for Provider Documentation
Today, we’re going to delve into a topic that’s crucial for healthcare providers – documenting medical necessity. It’s a complex subject, but don’t worry, we’ll break it down together. Understanding Medical Necessity First things first, what is medical necessity? It’s a term that’s often interpreted differently by various payers, but most definitions incorporate the idea […]
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 […]
2024 CPT changes for Obstetrics and Gynecology
Significant changes to the Current Procedural Terminology (CPT) codes and guidelines for 2024 were announced, affecting OB/GYN medical specialties. Let’s delve into the key modifications: 2024 Gynaecology CPT Changes Overview: Additions: The majority of additions pertain to laboratory medicine, reflecting advancements and expansions in diagnostic procedures. Revisions: Notably, revisions have been made to office visit […]