Coding & Documentation

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.

Some telehealth provisions introduced to combat the COVID-19 pandemic have been continued until at least the end of 2023.

What the new physician fee schedule may mean for your practice.

While helpful, the increase in electronic patient information creates more opportunity for errors, omissions, or mistakes that can ultimately lead to an unintended patient outcome and subsequent evidence against a provider in a legal proceeding.

The risk of malpractice and negligence is hurting the medical billing industry. Here’s a brief article talking about various risks involved with these threats to practices, clinics, and coders.

You’re probably already doing the work. Get paid for more of it.

There’s no doubt prior authorizations are a major time suck. Here are five ways to make them a little less onerous.

If providers fail to follow these new rules, claims will be denied, and eventually, those who are outliers on adherence to appropriate use criteria will be subject to prior authorization.

Five tips to ensure better documentation and, along with it, better patient care and improved reimbursement.

Though similar to other specialties, some billing codes are unique for behavioral therapy.

A transparent, data-driven approach can ease the transition from traditional fee-for-service to value-based contracts.

Don’t let your Medicare Part B reimbursement for advanced imaging be impacted by the CMS Mandate taking effect on January 1, 2022!

Miscoding and fraudulent billing can destroy a medical practice. Use these tips to get robust oversight of your medical billing and coding in place.

There are two principal criteria that need to direct physicians’ code assignment once they have decided to use a TCM code.

How do we guide the next generation of clinicians to prioritize value over volume?

2021 has brought about the most extensive changes to CMS’s Evaluation and Management (E&M) guidelines since 1997.

Covered entities should be balancing a patient’s right to request his/her medical records or designated record set in a particular electronic format with an unacceptable level of security risk to the covered entity’s systems.

Our experience shows how key features of value-based care can position practices to be more resilient, adaptable, and future-oriented.

How reinforcing care coordination can create value and improve patient outcomes.

Tips physicians should be using to ensure accurate documentation while protecting their professional integrity.