Tag: Medical Coding Guidelines


Differences: Preventive vs. Office Visits in Medical Coding & Billing

Preventive Services Vs Office Visits: It is important to note that Medicare does not cover preventive services in the same manner as commercial payers. Therefore, it is important to know the patient’s policy and insurance coverage. Table A shows a breakdown of the coverage parameters. Understanding the distinction between Preventive Services Vs Office Visits is […]
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2024 CPT Codes Update

CPT® 2024 Update: New Codes and Guidelines

 Take a look at the updates in CPT coding and guidelines for professional services. Every year, on January 1st, updated CPT® codes and coding guidelines emerge, introducing new, revised, and eliminated codes. For instance, in CPT® 2024, there are 230 new codes, 70 revised ones, and 49 removed codes. Notably, no alterations apply to anesthesia, […]
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7 Strategies to Support Medical Coders Struggling with Quality and Accuracy

Help your medical coders facing difficulties in maintaining coding accuracy by implementing a focused strategy. Medical coders hold a crucial position in healthcare, translating intricate medical data into standardized codes essential for billing, research, and patient treatment. The importance of accurate and high-quality medical coding cannot be overstated, as errors may result in financial setbacks […]
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Complex Coding Procedure

6 Strategies for Accurate Coding for Complex Procedures

In the healthcare industry, accurate coding is crucial for ensuring proper reimbursement, maintaining patient records, and conducting data analysis. This becomes particularly important when dealing with complex procedures, which often involve multiple steps, specialized equipment, and nuanced documentation. Errors in coding for complex procedures can lead to a cascade of issues, including delayed payments, inaccurate […]
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349 Ways CPT Codes Set is Revolutionizing Medical Practice for Physicians in 2024

The user-friendly descriptions associated with the over 11,000 Current Procedural Terminology (CPT®) codes are integrated into various medical documents, insurance forms, price lists, and patient portals. They serve as crucial references for numerous hospitals, health plans, and medical offices. To address language barriers, the recently released 2024 CPT code set now incorporates these descriptors in […]
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Billing Debridement Separately from Surgery

Facts to Avoid Confusion During Debridement Billing

Debridement is a process that involves the removal of foreign material, as well as tissue that is either devitalized or contaminated, until healthy tissue is revealed. Its primary purpose is to clean the affected area and is often performed concurrently with other orthopedic surgical interventions. In my role as an auditor specializing in orthopedics, I […]
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Medical Coding Automation

How Medical Coding Automation Enhances Primary Care Practices

Physicians are currently facing challenging times. The existing shortage of doctors, compounded by the pandemic, has exacerbated the patient-to-physician ratio. With an increase in patients, there’s a corresponding surge in administrative tasks for doctors. Consequently, this diminishes the time available for patient care and heightens stress levels among physicians. Furthermore, this situation often leads to […]
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Diagnosis Coding Guidelines

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 […]
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New Diagnosis Codes For 2023 With A Focus On SDoH

On April 1, your revenue cycle will have additional diagnosis code options to further capture social determinants of health. The CDC just released upcoming changes to both the ICD-10-CM diagnosis code set and the official coding guidelines. The new changes include 42 diagnosis code additions, seven deletions, and one code revision. All changes will go […]
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