Category: Blog

HCPCS Level II Coding Cycles and Procedures

CMS Implements Significant Updates to HCPCS Level II Coding Cycles and Procedures

The Centers for Medicare & Medicaid Services (CMS) announced that, beginning in January 2020, CMS will implement shorter and more frequent HCPCS Level II coding  cycles for requests to modify the Healthcare Common Procedure Coding System (HCPCS) Level II code set. Under the updated procedures, stakeholders will be able to submit code applications on a quarterly basis […]
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New Code for E-Cigarette Associated Lung Injury

New Code for E-Cigarette/Vaping Associated Lung Injury (EVALI Code)

Emergency release of the new EVALI code by CDC. On Dec. 9, 2019, the Centers for Disease Control and Prevention (CDC) published additional guidance regarding e-cigarette/vaping associated lung injury (EVALI Code). The new code is U07.0 (Vaping-related disorder). The CDC consulted with the World Health Organization (WHO) regarding an addition to the classification that would […]
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AI Streamlines Medical Billing and Coding

How AI Streamlines Medical Billing and Coding

Advanced technology like AI is streamlining medical billing and coding procedures for enhanced customer experiences. Artificial Intelligence in Medical coding and billing is a crucial viewpoint of healthcare. Reports revealed that by 2021, the medical billing outsourcing market is predicted to touch $16.9 billion. The coding and billing functionality transmutes patient record information into regulated […]
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AI Can Help Health Plans Become Member-Centric

How AI Can Help Health Plans Become Member-Centric

Improving the customer experience is no longer an idea that’s relegated to the retail or hospitality industries. Now, the idea has gained traction across many industries, including healthcare. For health plans, improving the customer experience and providing member-centric care helps drive member acquisition and retention and improve reimbursement (via a better STARS rating). With so […]
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New CPT Codes for Self-Measured BP

New Year, New CPT Codes for Self-Measured BP

Guidance for using out-of-office BPs is not new. Medical evidence and clinical guidelines published over the last decade have showcased the importance of 24-hour ambulatory monitoring as the reference standard, and self-measured blood pressure monitoring (SMBP) as an acceptable alternative for obtaining BPs to diagnose and treat hypertension. And thanks to that abundance of research […]
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Artificial Intelligence (AI) Improve Clinician EHR

How Can Artificial Intelligence (AI) Improve Clinician EHR Use?

The implementation of artificial intelligence into healthcare is becoming more widespread by the day. EHRs may have worked to improve data use among medical providers, but these tools are still far from perfect. Digital medical records have introduced a host of problems, including disrupting clinician workflows, limited interoperability, and creating data overload. But with the […]
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J Code Activations Simplify Billing Reimbursements For Practices

J Code Activations Simplify Billing Reimbursements For Practices

Several CMS-designated permanent and product-specific J-codes recently went into effect, allowing three ophthalmology-minded pharmaceutical companies to expand reimbursement through commercial and Medicare insurance plans. J-codes were activated Oct. 1 for FDA-approved products manufactured by EyePoint Pharmaceuticals, Ocular Therapeutix and Omeros. In the past, J-codes were announced once a year; now, CMS is issuing certain J-codes […]
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