Coding & Documentation

Coding questions answered.

Prior authorization should, when used, follow a uniform, automated procedure to lessen the load on doctors and health plans

Enhancing medical records helps cut expenses and boosts overall output.

Your coding question answered.

A pair of case studies provide insight into medical decision making.

What is the difference between an acute, uncomplicated illness and an acute illness with systemic symptoms?

Coding changes for critical care in 2023.

The providers in our clinic want to start billing e-visits. Can they bill for all the communication between the provider and patient through our online portal?

Trends in medical audits and what physicians can expect.

There were four new PCM codes introduced in 2022.

Scribes are someone who works offsite or in a different area of the practice (i.e., not in the exam room) to document important aspects of the encounter so the physician or other provider can focus on providing patient care and working more efficiently.

Your guide to coding and documentation best practices.

Completing all necessary documentation to describe the individual’s current condition, treatment needs, interventions, and medications must be done with precision.

Manual coding is slow, inaccurate, and cost inflexible.

Any billing changes won't come for a while.

What you need to know about prolonged services, medical assistant, and E/M codes.

What are the key differences between manual and autonomous medical coding processes?

Do EMRs result in higher coding for Evaluation and Management codes? Let’s take a look back to see.

Dodge these common problems with medical coding.

When employees are unsupported, overwhelmed, and struggling to stay up-to-date on the latest rules, mistakes are bound to happen.

What you need to know to avoid claim denials and to maximize practice revenue.

Get prepared for next year's changes.

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?

For primary care practices, earning enough revenue to meet overhead expenses and provide quality care has always been a challenge. But practices often make the challenge even greater through sloppy coding and billing, leading to delayed or incorrect reimbursements from payers.

What you need to know about coding a follow-up appointment for Type 2 diabetes.

Don't lose out on revenue by misidentifying patients.

An internal medical coding and billing audit can ensure a practice is billing correctly.

Proper documentation and taking advantage of new coding designations can ensure practices are getting the most for the care they provide.

CMS says that the modifier is being overused and misused.

Make sure you don't fall into these coding pitfalls.