Tag: Medical Coding

AI-enabled ICD-10 CM Guidelines: The Future of Medical Coding

AI-enabled ICD-10 CM Guidelines: The Future of Medical Coding

In the ever-changing realm of healthcare coding, it is imperative for professionals to stay updated on the latest developments within the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). This dynamic coding system plays a pivotal role in recording diagnoses, conditions, and other vital health-related information. With the advent of artificial intelligence (AI) technologies […]
How Medical Billing Compliance Can Protect Your Medical Practice?

How Medical Billing Compliance Can Protect Your Medical Practice?

The process of medical billing encompasses multiple stages, starting with patient registration and eligibility verification, followed by capturing charges, coding, submitting claims, and posting payments. When a patient receives medical services from a healthcare provider, the provider documents the services and associated costs within an electronic health record (EHR) system. Subsequently, a medical billing entity […]
8 Medical Billing Tips for Practitioners

8 Medical Billing Tips for Practitioners

Effective insurance billing is crucial for the financial health of any medical practice, whether primary care, specialized, or integrative. Inefficient billing leads to significant revenue loss, with claim denial rates exceeding 15% and surging nearly 17% since 2019. To mitigate these losses, providers must prioritize robust billing processes. As a medical billing service, we’ve identified […]
5 Trends That Will Shape Medical Coding

5 Trends That Will Shape Medical Coding

In the world of healthcare, medical coding plays a crucial role in ensuring accurate billing and reimbursement for services provided to patients. As we look ahead to 2023, there are several trends that are expected to shape the landscape of medical coding. Here are five of the most significant trends to watch for: 1. Increased […]
Medical Coding Strategies to Prevent Payer Denials

Medical Coding Strategies to Prevent Payer Denials

As a former emergency department physician from the U.K., this individual was well aware of claim denials and rejections, with payers frequently withholding or reducing payments. However, it was only when his personal insurance company, denied his medical claim for a vitamin D test that he decided to delve deeper into the issue. He found […]
The New ICD-11 Codes: What You Need to Know

The New ICD-11 Codes: What You Need to Know

In the ever-evolving field of healthcare, accurate diagnosis and effective treatment depend on a universal coding system that provides a common language for medical professionals worldwide. The International Classification of Diseases (ICD) serves as the backbone of this system, and with the recent transition to ICD-11, a new era of coding has begun. In this […]
Latest Diagnosis Coding Guidelines for 2024

Latest Diagnosis Coding Guidelines for 2024

Review the changes to ensure that ICD-10-CM codes are reported accurately On July 5th, The National Center for Health Statistics released the 2024 update to the ICD-10-CM Official Guidelines for Coding and Reporting. It is recommended that medical coders and auditors review these guidelines on an annual basis to ensure accurate reporting of patient conditions […]
Tips to Avoid Billing Errors in Radiology Practices

Tips to Avoid Billing Errors in Radiology Practices

Have you ever received a medical bill that left you perplexed, questioning how the expenses added up and left you scratching your head? If that’s the case, you’re certainly not alone. Billing for radiology can be intricate and confusing, involving numerous codes and procedures. Unfortunately, errors in medical billing are all too frequent, resulting in […]