Coding & Documentation

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.

Prior authorizations continue to top the list of annoyances for physicians.

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.

Things owners and administrators should know when preparing for interoperability in their practice.

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.

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!