Vitamin D plays a vital role in maintaining healthy bones, supporting the immune system, and regulating calcium absorption. However, deficiencies in this essential nutrient are common worldwide, often leading to fatigue, bone pain, muscle weakness, and long-term complications like osteoporosis. For healthcare providers, accurately documenting and coding vitamin D deficiency is essential not only for […]
Left shoulder pain is a frequent complaint in healthcare, but it’s not a diagnosis itself. For healthcare providers, assigning the correct ICD-10-CM code is a crucial step for accurate medical billing and record-keeping. The specific code for left shoulder pain is M25.512. This blog post will explore the details of ICD-10 codes for left shoulder […]
Navigating the world of medical billing and coding can be tricky, especially when it comes to modifiers. Getting them right is crucial for accurate reimbursement and compliance. This guide will walk you through two of the most important modifiers: Modifier 51 and Modifier 59. We’ll explain what they are, how to use them, and the […]
Allergen immunotherapy remains a cornerstone of treatment for many patients suffering from allergic conditions, offering long-term relief and potentially altering the course of disease. For allergy and immunology practices, CPT code 95165, which covers the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, is a vital component of their […]
Table of Contents Understanding the Impact of Denials and AR Days The Role of Automated Insurance Eligibility Checks Benefits of Automated Insurance Eligibility Checks Implementing Automated Insurance Eligibility Checks Insurance Eligibility Verification Service: A Critical Step for Healthcare Practices One significant challenge that healthcare providers face is the high rate of insurance claim denials and […]
The accuracy of medical coding in the ever-evolving healthcare industry is not only crucial for accurate billing, but it is also crucial for quality reporting, compliance, and patient outcomes. The ICD-10-CM codes for 2024 have been updated, resulting in new and revised codes for healthcare providers that have an impact on multiple aspects of patient […]
Medical claims processing has traditionally been a labor-intensive and error-prone task, involving manual data entry, verification, and adjudication. However, the advent of Business Process Automation (BPA) has revolutionized this process, making it more efficient, accurate, and cost-effective. Beyond the Basics: Advanced BPA Features While the core functionality of BPA in medical claims processing involves automating […]
Accurate medical coding and billing are essential components of a healthcare practice’s financial health. When codes for procedures and diagnoses are recorded correctly, providers can receive timely reimbursements for the services they deliver. However, Prevent coding and billing errors can lead to claim denials, delays in payments, and increased administrative burden This blog post will […]
Physician RCM: This guide dives into key areas physician private practices can target to strengthen their revenue cycle management (RCM), as outlined by the American Medical Association (AMA) in recent News. By optimizing these eight steps, practices can ensure timely and accurate reimbursement for services provided. 1. Patient Registration: Accuracy First The foundation of a […]
The landscape of medical coding audits is constantly evolving. Staying informed about these trends and implementing best practices can significantly reduce stress and ensure a smooth audit experience. The Shifting Landscape of Medical Coding Audits Traditionally, medical coding audits felt like a lottery. Providers faced the uncertainty of random reviews, often scrambling to address issues […]