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The purpose of D5994: Perio Protect is a prescribed medical device used to treat patients who suffer from periodontal disease. The device is lab-created

Coding is a major determinant of what dermatologists bill and what they get paid, so it’s critical to keep up with changes to be both compliant

In an effort to reduce healthcare disparities, the American Medical Association (AMA) recently vowed to support the creation of new alternative payment models that

When the Patient-Driven Groupings Model (PDGM) launches Jan. 1, 2020, leveraging tools and resources to ensure compliance will be critical to a successful transition.

Audits can be an unfortunate reality of practicing medicine. The good news is that as long as you are practicing and coding correctly, you have nothing

That’s the contention of the Department of Health and Human Services’ Office of the Inspector General. An OIG audit discovered 34,664 Medicare claims that

There are nine different Multiple Procedure indicators on the Medicare Physician Fee Schedule (MPFS), meaning there are a lot of payment adjustment possibilities you

5 Qualities the Best Medical Billing Companies Have 1. Support for Specialty Practices It is important to make sure medical billing companies under consideration have

Did you know that medical billing and coding is expected to grow at a rate of 13% for the next 7 years? That’s much higher

Private practice lays the responsibility for operations and financial management of the practice into the hands of physicians. That’s a responsibility is a topic

According to a Healthcare & Business Technology report regarding medical billing, almost $125 billion in uncollected revenue happens each year due to: 1. medical

BCPI Advanced Model – The Basics As of early October, the Centers for Medicare & Medicaid Services (CMS) began to implement the Bundled Payments

Do you know what your practice’s clean-claims submission rate is? Because if it’s not currently 95% or above, you’ve got work to do. Claim

Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date. But do you know

It’s a compelling question; Are EHRs responsible for low provider productivity compared to when they were using paper based records in 2009. Providers often

The “early release” of the Category I vaccine product codes prior to publication of CPT® 2006 was approved by the CPT Editorial Panel. In recognition

A longtime problem in workplaces around the world received international attention earlier this week, as the World Health Organization (WHO) announced it would be

Take a look around any big hospital and you’ll find plenty of imposing technology: surgical robots, artificial organs, wireless brain sensors, three-dimensional imaging visualizations.

The hospital chargemaster is the heart of the revenue cycle, capturing the costs of every billable service or item delivered at the organization. To

Getting our hands in-deep with how AI is actually bringing changes in Medical Coding Automation, it is required the proper understanding of what the

The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual

Outreach to providers on the topic continues. From the same folks who brought you the Electronic Submission of Medical Documentation (esMD), there is a

Contest indicates coding accuracy is below expectations. Central Learning is a web-based coding assessment and education application. Since 2016, the company has conducted an

Adding TKA to the BPCI appears to be more involved than anticipated. As reported by the American Hospital Association and other organizations, starting in

Not all individuals have the same illnesses, and even for the same chronic diseases, how any patient is affected varies. In determining payments for

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