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Latest Update on Medical Billing blog - ICD-10, what physican makes happy?, revenue cycle management, family practice and much more on MedicalBillersandCoders Blog
Coding Guidelines For E&M Services
2023-01-31 08:44
CPT codes for Evaluation & Management (E&M) services are principally included in the CPT code range 99202-99499. The codes describe the site of service (e.g., office, hospital, home… Read More
Medical Billing For Cardioversion
2023-01-30 02:57
Basics of Cardioversion Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or other cardiac arrhythmia is converted to a normal rhythm using electricit… Read More
Billing Guidelines For Bilateral Surgeries
2023-01-27 14:59
Bilateral Surgeries Billing Bilateral surgeries are procedures performed on both sides of the body during the same operative session or on the same day. Medicare makes the payment for bilate… Read More
Arthroscopy Coding Guidelines
2023-01-17 10:58
To share arthroscopy coding guidelines, we referred National Correct Coding Initiative (NCCI) policy manual. CMS developed the NCCI manual to promote national correct coding of Medicare Part… Read More
Medicare Ambulance Transports And ABNs
2023-01-11 14:14
A physician or supplier often has a lot of doubts when it comes to ambulance transports and ABNs. Most suppliers consider ABNs a way to avoid Medicare ‘medical necessity’ denials… Read More
Billing By Non-Physician Providers (NPPs)
2023-01-06 04:49
A non-physician provider (NPP) is a healthcare provider who is not a physician but who practices in collaboration with or under the supervision of a physician. NPPs may bill payers directly… Read More
General Coding Guidelines For ICD-10-CM
2023-01-03 07:49
ICD-10-CM Basics Selecting accurate diagnosis codes using ICD-10-CM is challenging due to the availability of more than 68,000 codes. In this article, we shared general coding guidelines for… Read More
Surgical Package Coding Guidelines
2022-12-21 10:25
Most medical and surgical procedures include pre-procedure, intra-procedure, and post-procedure work. When multiple procedures are performed at the same patient encounter, there is often an… Read More
5 Newly Added Sometimes Therapy Codes
2022-12-13 12:50
The Centers for Medicare & Medicaid Services (CMS) in its ‘year 2022 annual update to the therapy code’ document introduced 5 newly added ‘sometimes therapy’ code… Read More
Grow Your Practice With Telehealth Services
2022-12-08 08:23
Patients Love Telehealth Healthcare providers and patients used to see medical care as something best done in-person. But the COVID-19 pandemic changed everything including a massive transit… Read More
Top 5 Online Tactics To Gain More Patients
2022-12-06 18:47
Need of Online Presence In the current era of digitalization where mobile phones are no longer used only for calling, your patients are using every possible online channel to find informatio… Read More
Selecting E&M Based On Time
2022-09-07 17:09
Prior to 2021, the time associated with CPT codes 99202-99215 was based specifically on the typical face-to-face time the physician/qualified health care professional (QHP) spent on the day… Read More
Medicare SNF Billing Coverage 2022
2022-09-01 12:35
Medicare Part A covers skilled nursing and rehabilitation care in a Skilled Nursing Facility (SNF) under certain conditions for a limited time. Coverage for care in SNFs is measured in &lsqu&hell…Read More
Billing Guidelines For Wound Care In 2022
2022-08-23 12:50
Basics of Wound Care Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devital… Read More
2022-08-17 05:32
The burden of Prior Authorization According to a recent survey from the American Medical Association (AMA), prior authorization creates an administrative burden for healthcare practices, neg… Read More
2022-08-16 15:03
E/M Services Denial Reasons As per the Centers for Medicare & Medicaid Services (CMS) data, approximately 15 percent of evaluation and management (E/M) services are improperly paid and a… Read More
2022-08-11 07:39
Understanding External Payer Audits An external payer audit is an examination of a healthcare practice’s finances or processes conducted at the will of payers. These payers are either… Read More
2022-08-02 12:43
Recently CMS published Medicare Fee-for-Service (FFS) improper payment date for ambulance services for the 2020 reporting period. For this reporting period, the improper payment rate for amb… Read More
2022-07-29 05:34
Increasing Claim Denials Recently Kaiser Family Foundation published an analysis on claim denials for various marketplace payers for the year 2020. Under the Affordable Care Act, marketplace… Read More
2022-07-26 05:42
As a practice owner, you might have a team of professional physicians who possess the right qualification and licenses but without properly credentialed providers you invite the risk of losi… Read More
2022-07-01 12:19
The Centers for Medicare & Medicaid Services (CMS) is resuming the Targeted Probe & Educate (TPE) audit, effective September 1, 2021. Based on data analysis of claims payment, CMS wi… Read More
Basics Of Medicare Remittance Advice (RA)
2022-05-13 12:58
The A/B Medicare Administrative Contractors (A/B MACs), and Durable Medical Equipment Medicare Administrative Contractors (DME MACs) send to providers, physicians, and suppliers, as a compan… Read More
Making A Stronger RCM Team In 2022
2022-05-12 15:11
A recent survey of U.S. healthcare organizations highlighted declining reimbursements as a top industry challenge. The COVID-19 pandemic changed payer billing guidelines, and reimbursement p… Read More
Data Fields In Medicare EFT Enrollment
2022-05-11 13:44
Electronic Funds Transfer (EFT) allows Medicare to transfer payments directly to the provider’s financial institution. The Medicare EFT Authorization Agreement (CMS-588) is required fo… Read More
Telecommunication Billing Updates For OTPs
2022-05-04 15:12
As of January 1, 2020, CMS pays Opioid Treatment Programs (OTPs) through bundled payments for opioid use disorder (OUD) treatment services in an episode of care provided to people with Medic… Read More
Basics Of EDI Enrollment With Medicare FFS
2022-05-02 07:35
What is EDI Enrollment? For a provider is trying to enroll with Medicare FFS, they must first establish an Electronic Data Interchange (EDI) agreement with Medicare. EDI is the process of us… Read More
Key Elements Of EMS Documentation
2022-04-26 11:24
Documentation is one of the least favorite parts of Emergency Medical Services (EMS) providers’ job. However, next to patient care, it is one of the most important things. Many EMS pro… Read More

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