Tag: Medical coding company

Flu-Vaccination-Coding-and-Billing-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 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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Medical-Necessity-Code-Changes-ICD-10-CM

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

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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Coding-Guide-2022

How to Get Paid: Coding Guide for 2022

What you need to know to avoid claim denials and to maximize practice revenue Despite your best efforts to follow billing guidelines, payers still deny your claims. Or in some cases, they pay you and then take the money back. Experts say you can’t ever eliminate denials and post-payment recoupment entirely, but you can reduce […]
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Use-CPT-Modifiers-to-get-paid-correctly

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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Rise-in-Inaccurate-Payments

Rise in Inaccurate Payments Due to New Reimbursement Method

When the Centers for Medicare & Medicaid Services (CMS) implemented the Patient Driven Payment Model (PDPM) as the new reimbursement method for skilled nursing facilities (SNF), some of us in the coding and auditing world thought it likely to result in inaccurate payments. The old model, the Resource Utilization Group—Version IV (RUGS-IV), calculated SNF reimbursement […]
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Covid-Coding-and-Reporting-Guidelines-2023

ICD-10-CM Coding and Reporting Guidelines for Covid yr. 2023

Effective from discharges/visits on October 1, 2022, the 2023 Official Coding and Reporting Guidelines for ICD-10-CM have been established. On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) issued MLN Connects, featuring an article focusing on long COVID. This article imparts guidance on coding practices for both long COVID and ongoing COVID […]
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New-Codes-on-Covid-19-Vaccine

New codes on COVID-19 Vaccine for patients 4 years and below

The effective date for 0081A-0083A and 91308 is June 17, 2022. The Food and Drug Administration (FDA) granted emergency use authorization (EUA) to the Pfizer-BioNTech COVID-19 vaccine for patients ages 6 months to 4 years. The new CPT® codes for reporting this vaccine are: 0081A Immunization administration by intramuscular injection of severe acute respiratory syndrome […]
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