Tag: HCPCS

Medical coding strategies

Top Medical Coding Strategies to Maximize Reimbursements

The difference between a thriving medical facility and one struggling with cash flow often lies in the precision and strategic application of its coding processes. Maximizing reimbursements and strengthening financial health hinges on a proactive approach to medical coding – one that goes beyond simply assigning codes and delves into optimizing every facet of the […]
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Medical Coding Audits for Physicians

Mastering Medical Coding Audits: A Physician’s Guide to Compliance & Revenue Protection

In the intricate ecosystem of healthcare, where patient well-being and financial viability intertwine, accurate medical coding stands as a cornerstone. Physicians, while primarily focused on patient care, bear the ultimate responsibility for the documentation that underpins the billing process. To ensure accuracy and compliance, Medical Coding Audits for Physicians are essential in identifying potential errors […]
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2024 Medical Coding Updates

2024 Coding Updates: Navigating New CPT, HCPCS, and ICD-11 Changes

In 2024, healthcare providers, medical coders, and revenue cycle management (RCM) professionals need to stay up-to-date on 2024 medical coding updates. Several updates have been made to Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-11) by the American Medical Association (AMA), the Centers for Medicare & Medicaid […]
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Comprehensive Overview of CMS July 2024 OPPS Update (CR13632)

The CMS Releases July 2024 OPPS Update (reference: CMS Change Request CR13632, MLN Matters number MM13632). Here’s a summary of key changes: New Coverage for COVID-19 Pre-Exposure Prophylaxis: Drug: PEMGARDA (pemivibart) – Code: Q0224 (Note: This code is not reimbursed under OPPS, but at a “reasonable cost”) Administration: Code: M0224 (Covered: Receives separate payment under […]
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HCPCS Level II Code Update for January 2024

HCPCS Level II Code Update for January 2024

The Centers for Medicare & Medicaid Services (CMS) has implemented its proposal to introduce codes for the collection of Social Determinants of Health (SDOH). The latest update for the Healthcare Common Procedure Coding System (HCPCS) Level II, applicable from January 2024, is now accessible on the CMS website. This update comprises significant alterations, including the […]
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