Tag: Medical Coding

Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 vs Modifier 78:  Modifier 58: Same underlying condition, planned or unplanned additional procedure. Modifier 78: New problem caused by the initial surgery (complication) requiring a return to the OR. Medical Coders often struggle to differentiate between modifier 58 (staged/related procedure) and modifier 78 (unplanned return to OR). Let’s break down the key differences […]
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6 Key Trends Shaping the Future of Medical Coding in 2024

6 Key Trends Shaping the Future of Medical Coding in 2024

Medical coding is a dynamic field, driven as much by technological advancements as by healthcare practices and regulatory changes. As we are moving into 2024, we can see that several important trends are shaping the future of this important field. Future of Medical Coding  2024: 1. Rise of Artificial Intelligence (AI) and Machine Learning (ML) […]
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ICD-10 2024: A Deep Dive into the Most Significant Changes

ICD-10 2024: A Deep Dive into the Most Significant Changes

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 […]
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Navigating Regulatory Compliance in Medical Coding for Accurate Billing

Navigating Regulatory Compliance in Medical Coding for Accurate Billing

Explore the intricacies of codes for a better understanding of regulatory compliance in medical coding. Healthcare billing and documentation are based on medical coding. An accurate representation of the patient’s health journey, appropriate reimbursements, and avoiding potential legal pitfalls are crucial to ensuring accurate representation of the patient’s health journey, not just an administrative formality. […]
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Clinicians Struggle with Medical Coding Amid Patient Care Responsibilities

Clinicians Struggle with Medical Coding Amid Patient Care Responsibilities

Presently, healthcare professionals face growing administrative demands alongside their patient-focused duties. A pivotal challenge among these is medical coding, essential for various reasons. It ensures adherence to billing standards impacting reimbursements, meets quality metrics established by healthcare entities and insurers, and guarantees precision in diagnoses recorded for billing purposes. Yet, the task of accurate coding […]
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Top 7 Ways Outsourcing Medical Coding Benefits

Top 7 Ways Outsourcing Medical Coding Benefits

Medical coding plays a crucial role in managing the administrative aspects of your organization. It’s evident that without precise medical coding, obtaining reimbursement from insurance companies and third-party entities becomes a challenge. Both under coding and over coding can lead to revenue losses for your organization. While there are avenues for appeals in case of […]
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CPT 2024 Updates_ New Codes, Revisions, and Effective Dates

CPT® 2024 Updates: New Codes, Revisions, and Effective Dates

Curious about the upcoming procedure codes for the new year? Your curiosity ends here! The CPT® 2024 update will incorporate 153 fresh codes dispersed throughout the code book. These additions encompass various sections such as Evaluation and Management, several Surgery subsections (including Musculoskeletal System, Respiratory System, Cardiovascular System, Urinary System, Female Genital System, and Nervous […]
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Optimizing Revenue Cycle Management: Best Practices and AI Potential

Optimizing Revenue Cycle Management: Best Practices and AI Potential

From the inception to the conclusion of the Revenue Cycle Management (RCM) pipeline, it is imperative for practices to implement enhanced analytics and streamlined workflows. Healthcare providers have grappled with the challenge of receiving proper compensation for their services, and the current reimbursement landscape presents even greater obstacles compared to previous years. Payors are persistently […]
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How Revenue Cycle Management Improves Healthcare in 2023

How Revenue Cycle Management Improves Healthcare in 2023

Discover how healthcare providers can accelerate cash flow, minimize denials, reduce operational costs, and enhance patient satisfaction through streamlined Revenue Cycle Management (RCM). RCM is a strategic approach to overseeing all financial aspects of a patient’s journey, from initial appointment scheduling to final bill payment. This article highlights the critical role RCM plays in maximizing […]
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