Tag: Healthcare Professionals


Using Modifier – 25 on an E/M Visit

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 […]
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Cardiology ICD 10 Codes used by Healthcare Professionals

This is a comprehensive table of cardiology ICD 10 codes used by researchers as well as healthcare professionals and personnel—nurses, medical coders, physicians, et al. This table has been curated for use by cardiology specialists to include cardiology ICD 10 codes and classifications relevant to cardiovascular conditions. Here, you will find cardiology ICD 10 codes […]
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Prior Paid Malpractice Claims Increase Risk Of Future Claims

Physicians with paid medical malpractice claims are more likely to have at least 1 more claim in the next five years, compared to physicians with none. A new study found “a single prior paid claim was associated with substantial, long-lived, higher future claim risk, independent of whether a physician was practicing in a high- or […]
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Practical Tips For Reducing Claims Denials

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 […]
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Coding of Cardiac Conditions Takes The Center Stage

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 […]
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The 2023 Telehealth Service Codes Physicians Need to Know

Medicare Telehealth Services for 2023, Centers for Medicare and Medicaid Services (CMS) is adding new Healthcare Common Procedure Coding System (HCPCS) codes to the list of Medicare telehealth services, specifically the following HCPCS codes. Prolonged Service Codes G0316: Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary […]
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10 Areas That Will Impact Healthcare Organization in 2023

In an era of resource scarcity for many, it’s imperative for healthcare organizations to strategically identify areas of concern unique to them and on a broader spectrum. Healthcare business professionals and clinicians from entry-level departments to the C-suite should have at minimum a risk assessment in these areas and, ultimately, put in place policies and […]
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Top Challenges for Care Management Coding in 2023

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 […]
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The Renewal of the PHE Indicates Public Health Emergency Exists

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.” […]
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How to Deal, Avoid, and Solve a Medical Board Complaint

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 […]
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