Medicalcodingnews.org

Understanding the Basics of Bundled Payments in Healthcare

WEBUnder a bundled payment model, providers and/or healthcare facilities are paid a single payment for all the services performed to treat a patient undergoing a …

Actived: 9 days ago

URL: https://medicalcodingnews.org/understanding-basics-bundled-payments-healthcare/

Here’s How You Can Bill The Correct New G Code

WEBStarting Jan. 1, CMS is requiring eight new billing codes in addition to the existing six codes for home health agency services. Those include new nursing codes …

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Providers are Increasingly Billing Outpatient Visits at Higher Levels

WEBOutpatient visits are being billed at higher levels, leading to increased healthcare spending and concerns about upcoding, a Peterson-KFF Health System …

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Mastering Medical Coding is Not as Hard as You Think

WEBMedical coding is a component of the medical billing process that assigns codes to claims from a patient visiting a healthcare facility. The coder is responsible for …

Category: Medical Go Health

Coding Medical Records – A Comprehensive Guide

WEBIn the ever-evolving world of healthcare, medical coding plays a crucial role in capturing and organizing patient data for various purposes, including medical billing, …

Category: Medical Go Health

10 common issues with medical billing and how to resolve them

WEBDuplicate Billing. Duplicate billing, where patients are charged twice for the same service, is an avoidable yet common medical billing issue. Regular reviews and …

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The IPPS Proposed Rule Demonstrates the Importance of SDoH

WEBThe Centers for Medicare & Medicaid Services (CMS) has issued its 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule, through which it …

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4 ways generative AI is transforming healthcare

WEBIn the face of ever-rising healthcare costs, technology could offer a reprieve. Indeed, physicians across the country are interested in learning about the potential …

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Trouble Signs Again For New Medical Coding System

WEBRemember the new, uber-complicated system of medical codes coming soon? You know, the ones that will tell your insurance company whether this was the …

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Information Governance, Informatics Are Top Priorities For AHIMA

WEBAs the healthcare industry transitions from fee-for-service to value-based care, health information professionals are on the frontlines of these momentous …

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Avoid Denials With This Lowdown on Newborn CCI Bundles

WEBIf the FP performs normal newborn services (99460-99462) on the same date that the newborn later becomes ill and receives subsequent hospital care (99231 …

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Medical billing and coding is complicated, but it is critical to a

WEBIt takes between 50 and 90 days after a claim is submitted for a medical practice to receive an insurance payment (excluding patient copays).Healthcare …

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Hospitals want CMS to correct MA plan policies on coverage

WEBThe American Hospital Association is asking the Centers for Medicare and Medicaid Services to crack down on Medicare Advantage insurers it says are blatantly …

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What Are the Benefits of Clinical Documentation Improvement …

WEBThere can be great financial benefits from CDI as well. Nearly 90 percent of hospitals with more than 150 beds and outsourced clinical documentation functions saw …

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Preventive Medicine Versus E&M Codes: The Same-Day Coding …

WEBChoosing a proper office visit code can become confusing unless one understands the rules separating preventive medicine and evaluation and management …

Category: Medicine Go Health

Simplify E/M documentation and coding in your private practice

WEBOften called the “language of medicine,” the Current Procedural Terminology (CPT®) code set is always evolving, and one reason for that evolution is to lower the …

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“Smart Hospital Rooms” Powered by Alexa are Being Introduced in …

WEBMove aside, call lights, because there’s a new way to get nurses’ attention: Alexa. In hospitals and senior centers across the country, a form of Alexa—powered by …

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Newborn Status Change Means Deciding Between Hospital Care …

WEBWhen the pediatrician provides E/M services for newborns who are other than normal, CPT directs you to report the codes for hospital inpatient (99221-99233) or …

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CPT – Page 2 – MedicalCodingNews.Org

WEBDon’t fall for these common body habitus, time, and fee traps. If you overuse Modifièr 22 (Increased procedural services), you may face increased scrutiny from your payers or …

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Cesarean Section – MedicalCodingNews.Org

WEBReporting any qualifying circumstances (QC) codes for anesthesia can be tricky, but knowing when to classify a situation as a true emergency can be a real challenge unless …

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