Tag: Medical coding company

Flu Vaccination Coding and Billing for 2022-2023

Flu Vaccination Coding and Billing for 2022-2023

Has your billing department prepared for the upcoming 2022-2023 influenza season? As we approach the 2022-2023 influenza season, the Centers for Disease Control and Prevention (CDC) continues to recommend flu vaccination for everyone aged 6 months and older, with the ideal timing being by the end of October. This guidance remains consistent with previous years. […]
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New Coding Issues Emerge To Confront Coders

New Coding Issues Emerge To Confront Coders

  The new codes and subsequent issues will be effective Oct. 1, 2023. According to senior healthcare consultant Laurie Johnson, who presented the information during the series, three major issues emerged from her research and manifested themselves in her presentation —a presentation that was augmented with commentary from Erica Remer, MD, co-host for the long-running […]
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NCDs Affected by ICD-10-CM Medical Necessity Code Changes

NCDs Affected by ICD-10-CM Medical Necessity Code Changes

When ICD-10-CM is updated Oct. 1, so are these National Coverage Determinations. Are you wondering which National Coverage Determinations (NCDs) will be affected by the thousands of diagnosis code changes going into effect Oct. 1? Centers for Medicare & Medicaid Services (CMS) transmittal tells all. CMS Transmittal 11546, issued Aug. 4, is a one-time notification […]
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Clinical Coding Changes: ICD-10-CM/PCS C&M Committee

Clinical Coding Changes: ICD-10-CM/PCS C&M Committee

Throughout the years in the health information management field, we’ve always been deeply interested in clinical coding and even find clinical coding to be fun. With that comes learning about the annual coding changes: new, revised and deleted codes. That brings us to the ICD-10-CM/PCS Coordination and Maintenance (C&M) Committee, how they work and the […]
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CPT Modifiers for Physicians to Get Paid

CPT Modifiers for Physicians to Get Paid

During a typical office visit, physicians may provide evaluation and management (E/M) services, minor procedures and more. The question is: Can they bill for each one separately? In some cases, the answer is no. In others, though, the answer is yes — but they must know what current procedural terminology (CPT) modifier to append. Modifiers […]
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Latest updates on Critical Care Coding

Latest updates on Critical Care Coding

Medicare updates its policy for these services to align with CPT®. The Centers for Medicare & Medicaid Services (CMS) revised its Part B benefit policy for critical care services, effective Jan. 1, 2022. Policy changes finalized in the 2022 Medicare Physician Fee Schedule (MPFS) final rule include a new definition of critical care services, who […]
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CMS Updates HCPCS Level II for Q2

CMS Updates HCPCS Level II for Q2

Medical Coding Updates and Insights Unveiled Effective April 1, 2022, the HCPCS Level II code set, which is employed to record medical services and provisions, will encompass the integration of 37 novel codes. Furthermore, the second quarter revision encompasses the elimination of five codes and a refinement of the description for one modifier. Lay Terms […]
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