Tag Archives: medical coding services

How to get success in risk-based payment model

How to get success in a risk-based payment model?

Reimbursement insufficiency, data on time, and most important data access are preventing hospitals and health systems from moving to risk-based payment, according to a recent survey from healthcare improvement company Premier. What is a risk-based payment model? According to American Academy of Pediatrics, There are a variety of risk-based or budget-based payment models being developed. […]

Revised Evaluation and Management Codes in 2021

Revised Evaluation and Management Codes in 2021

The American Medical Association (AMA) strongly disagreed, and the AMA’s CPT® panel got to work on revisions. It takes time to revise CPT® codes and definitions., but the CPT® editorial panel made changes in 2019 that will take effect in 2021. There wasn’t time to put these changes in the 2020 book, and the guidelines […]

Inpatient Psychiatric Facilities Prospective Payment System

FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)

The CMS is finalizing a rule that further advances our efforts to support the Medicare program by better aligning payments for inpatient psychiatric facilities (IPFs) with the costs of providing care. The final rule will update Medicare payment policies and rates for the IPF Prospective Payment System (PPS) for FY 2021. These policies will help […]

Coding Updates for General Surgery

Coding Updates for General Surgery

Multiple changes in the Current Procedural Terminology (CPT) coding expected to impose in 2020. Following are the coding updates, which are applicable to general surgery and similar specialties for the year 2020. Coding Updates for General Surgery General Surgery New Graft Codes The code 20929, Tissue grafts, other (e.g. fat, dermis, paratenon) has been misvalued, […]

Tips for Handling Cardiology Billing and Coding

Tips for Handling Cardiology Billing and Coding

In medical practices documentation, billing, coding, compliance, and auditing have become buzzwords after ICD-10. Cardiology billing and coding is one of the most complex billing and coding procedures for billing experts and physicians. It comes with numerous process rules, continuous changing of codes, and contractual adjustments. Some of the challenging factors occurred while coding and […]

Covid-19 is creating unique healthcare revenue cycle challenges around billing and coding

Covid-19 is creating unique healthcare revenue cycle challenges around billing and coding

As we know the world is going through the crisis of COVID-19 and the government of every country is urging people to stay at home. On the other hand, healthcare providers are battling on fields to mitigate the intensity of novel coronavirus. According to the latest data by world health organization (WHO), globally there are about […]

DMEPOS Competitive Bidding Program and New Regulations

DMEPOS Competitive Bidding Program and New Regulations

DEMPOS stands for Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS). The DEMPOS competitive bidding program was set by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). In order to become Medicare contract suppliers, under the DMEPOS Competitive Bidding Program, DMEPOS suppliers compete with each other by submitting bids to provide certain […]

Benefits of end to end revenue cycle management

BENEFITS OF END TO END REVENUE CYCLE MANAGEMENT

End to end revenue cycle management deals with the distribution of cash flows and accelerate the reimbursement process. Apart from this, it also helps hospitals and healthcare service providers in order to handle the complexity of the revenue cycle, which ultimately raise their bottom lines. In today’s era decreasing reimbursement, changing health plans and industry […]

How to master the ICD-10-CM 7th Character

How to master the ICD-10-CM 7th Character?

With the advancements in medical professions and medical emergency throughout the world with COVID19 infections, a lot of researches have come to light. Let us understand the diagnosis coding for ICD-10-CM. International Classification of Disease ICD stands for International Classification of Disease, a technological innovation that helps to spot health trends, statistics and new diseases […]