In the high-stakes world of healthcare, one malpractice claim can alter the trajectory of a medical professional’s career. But what happens when a physician already has a history of prior paid malpractice claims? According to extensive research, such history is a strong predictor of future claims, raising red flags for insurers, healthcare employers, and medical […]
Here’s an extensive table of cardiology ICD 10 codes tailored for utilization by cardiology specialists, researchers, and healthcare practitioners such as nurses, medical coders, and physicians. This curated table encompasses relevant 2024 cardiology ICD 10 codes and classifications specifically focused on cardiovascular conditions. Contained herein are cardiology ICD 10 codes covering a wide range of […]
Greetings and welcome to the latest edition of our healthcare coding newsletter! In order for us to remain abreast of the ever-evolving landscape of medical documentation, we must stay up-to-date with updates to the International Classification of Diseases, Tenth Revision (ICD-10) from time to time. In this article, we will take a closer look at […]
In recent years, there has been an increase in scrutiny regarding the use of modifier -25 to identify separate evaluation and management (E/M) services on the same day as another procedure. Insurers are now demanding documentation of such services both before and after payment, leading to a significant administrative burden for urology practices. The reason […]
Medical claims denials are on the rise and continue to be a costly problem for health systems. Unfortunately, the vast majority of providers focus their resources on reactive responses, working to appeal denials and recover payments after denials have already occurred. In a Becker’s Healthcare podcast an expert, discussed the problem of rising denials, why […]
February may be American Heart Month, but correctly diagnosing and coding cardiac conditions requires healthcare professionals to work hard to get right 365 days a year. Outlining coding guidance for pulmonary hypertension – a rare condition that nonetheless can be particularly deadly, often because it is not diagnosed until it is in advanced stages. It […]
Question: Could you kindly provide us with the updated telehealth services codes for the year 2023? Response: Regarding Medicare Telehealth Services for the year 2023, the Centers for Medicare and Medicaid Services (CMS) are introducing fresh Healthcare Common Procedure Coding System (HCPCS) codes to the compilation of Medicare telehealth services. More precisely, the subsequent HCPCS […]
Providing care management services, including chronic care management (CCM) and principal care management (PCM), is not easy. The first overarching challenge is that not enough patients actually participate in care management with a primary care physician. In fact, A recent report from the Primary Care Collaborative and the American Academy of Family Physicians’ more Americans […]
As expected, the COVID-19 PHE (Public Health Emergency) was extended for the 11th time, on October 13th, 2022, another 90-days, which will extend many of the CARES Act 1135 Waivers through January 11th, 2023. This extension confuses many healthcare professionals because in a 60-Minutes news interview, President Joe Biden, stated, that the “pandemic is over.” […]
Most physicians spend their sleepless nights worrying about malpractice lawsuits but not medical board complaints. However, a complaint to a medical board is a considerable challenge posing as much risk to a physician’s career as a malpractice case. Such a complaint often can be very trying and potentially damaging to one’s reputation. Some of the […]