June 26th 2025
Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.
May 21st 2025
Learn seven proven steps medical practices can use to empower coders, improve coding accuracy, and slash claim denials for a healthier revenue cycle.
January 16th 2025
Company aims to make claims appeals easier and quicker for physicians by having AI do much of the work
January 14th 2025
Behind today's high denial rates lies a fundamental tension – coding requirements grow increasingly complex as coding resources lessen.
January 3rd 2025
Though similar to other specialties, some billing codes are unique for behavioral therapy.
Prepare Your Practice for Medicare's Expanded Fraud and Abuse Program
The best defense is a good offense. Arm yourself with knowledge on what new federal healthcare fraud and abuse measures mean for your practice.
'Directed' Treatment; Defining Separate and Significant
Coding questions? We've got the answers.
Preparing Your Medical Practice Staff for ICD-10
Everybody at your practice has a role in the ICD-10 transition, but that doesn't mean they should all be coders. AHIMA's Kathy DeVault explains.
Getting Ready for 2014 and ICD-10
ICD-10 diagnosis codes are effective Oct. 1, 2014. Set an implementation budget and timeline. Identify ICD-9/ICD-10 differences. Say goodbye to nonspecific codes.
No More Delays: CMS Commits to 2014 Date for ICD-10 Transition
CMS is standing firm on its 2014 ICD-10 implementation, while also dealing with the effects of sequestration and the challenge of reaching smaller practices.
ICD-10 Testing: Know Where to Begin
Early ICD-10 testing will allow your medical practice to identify and resolve issues before they disrupt your claims process.
Medicare Advantage Revenue and Your Medical Practice
Medicare's Annual Wellness Visits are a critical element for primary-care physicians to document ICD-9 codes on their Medicare Advantage patients.
Mitigating the Financial Impact of the ICD-10 Conversion
There's not always a direct correlation between an ICD-9 and ICD-10 code. So providers should take steps to mitigate risks with the conversion.
Complexity and Comorbid Disorders; Improving 99213 Documentation
Get medical coding guidance on complexity and comorbid disorders; improving 99213 documentation; shave lesion codes; remote IV infusion and more.
How to Ensure Accurate Medical Coding
How to avoid the most common coding mistakes that lead to lost revenue at your medical practice.
In Medical Coding, Apply the Right Rules at the Right Time
Rules vary between code book guidelines, payer preferences, and Medicare limitations. Ensure proper reimbursement by following the right rules for the right situations.
Top Five Unexpected Denials by Code and Areas of Primary Care
Find out why CPT code 99213 is the most unexpectedly denied E&M code at medical practices like yours from John Stanton of RemitDATA.
Multiple Procedure Payment Reductions; Error with Code 764.95
Understanding Observation Codes
This article identifies the types of observation codes, how each is used, and relevant CPT guidelines for physicians and medical practices.
Significant Changes Coming in Medicare Coding Methodology
Here are some steps medical practices should take to stay ahead of the curve financially when CMS moves to a new data source for calculation of HCC factors.
Key Areas of Federal Healthcare Fraud Investigations
Want to know what the government looks for in healthcare fraud investigations? Here's some conduct you may want to avoid at your medical practice.
Code Correctly to Avoid RAC Audits at Your Practice
Coding expert Mary Pat Whaley offers four key tips to minimize the chances of a RAC audit at your medical practice.
Five Common Coding Errors in Medical Practices
Medical practices are concentrating on critical changes as part of the ACA but it is important not to lose focus on the basics of coding.
The Importance of a Coding Cheat Sheet at Your Medical Practice
If you see more than eight patients per day, it is time you have a quick coding reference guide to maximize reimbursements based upon insurance and CPT codes.
Intersecting ICD-10, VBP Can Enhance Patient Care and Practice Revenue
Patient care is at the heart of both ICD-10 and Value-Based Purchasing. But following the principals of each can also enhance your revenue cycle.
Avoiding Claim Denials Due to New Medical Codes
Here are six essential steps to avoid claim denials due to new 2013 codes and three tips for monitoring your medical practice's denials.
Requests for Consult; Global Preventive Medicine Codes
2012 Fee Schedule Survey Data
See where your medical practice stacks up when it comes to reimbursement for top CPT codes on a regional and national scale in our 2012 Fee Schedule Survey results.
The Importance of Having an Accurate Fee Schedule
Your fee schedule is the heart of your medical practice. Now is the time to get your allowable rates updated and published to your staff and billing department.
Prescription Drug Management; 'Timed' Codes; Preventive Services; Prenatal Visits
ICD-10 Training: When, Where, and How Good?
Here's some food for thought on when to deliver ICD-10 training to your medical practice staff, where you should go for it, and how to evaluate it.
ICD-10 Education and Training Planning
While the ICD-10 compliance date is nearly a year away, now is the time to begin training and education planning. Here are some tips.
Where You Might Be Losing Money at Your Medical Practice (Part II)
Downcoding, overstaffing, and lack of follow-up on denials are all possible places your medical practice is losing precious revenue.
Proper Coding Can Help Prove Medical Necessity
Report diagnoses to tell the payer why a service was performed, support medical necessity, and avoid having your claims denied.
Why Physician Self-auditing Is So Important
Want to avoid a larger audit at your medical practice? Self-auditing is a great first step for you and your physicians.