One of the recurring problems facing healthcare facilities is incorrect coding of Evaluation and Management (E/M) Services. The recent CERT (Comprehensive Error Testing) claim review analyzed by WPS Medicare reveals that within the fifteen or more services reviewed in that sample, three E/M CPT codes had been coded incorrectly in at least 44% of the total bills raised.
Effective October 01, 2016, the code M62.84 will be used by the healthcare community for sarcopenia, thus recognizing it as a distinctly reportable condition. The AIM (Aging in Motion Coalition) announced this ICD-10-C code, as established by the CDC (Centers for Disease Control and Prevention).
What is Sarcopenia?
Defined as a combination of low muscle mass,
The medical billing coding system is about to get larger and tougher – with Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) adding 1900 diagnosis codes and 3651 hospital inpatient procedure codes to the ICD-10 coding system for fiscal year 2017. As it is, there are 68000 billing codes under ICD-10,
Do you remember why you started your medical facility? The desire to help and treat others of their ailments – wasn’t that the reason? And yet here you are, dabbling with billing, insurance companies, revenue cycles and bad debts – all of which impinge on the time that you could be spending looking after your patients.
The Zika Virus
While monitoring sylvatic yellow fever in rhesus monkeys in 1947, the researchers in Uganda also identified an emerging mosquito borne virus – Zika. In 1952, the Zika virus was identified in humans, first in Uganda and then in Tanzania. Belonging to the genre Flavivirus and spread through the Aedes mosquito,
All medical billing and coding professionals use standardized classification systems to code the patient’s medical and care history. However, there are medical billing and coding professionals who specialize in specific areas of medicine and work as specialist coders and billers. To become a specialist medical billing and coding professional,
John is definite that he wants a career in the healthcare industry. After all, the healthcare industry is one of the fastest growing sectors in the country and John is sure that there were many opportunities for those willing to work diligently. When he expressed his desire of joining the healthcare industry to his immediate neighbor and good friend,
Revenue cycle is defined by the Healthcare Financial Management Association as “All administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.” The term includes the entire tenure of a patient account – from its creation to the payment. The process of revenue cycle flows into and affects each component of the system.
Often mistakenly assumed to be the same, medical billing and medical coding are two very distinctly separate jobs. Although there are many similarities between the two and small healthcare settings may entrust a single person for doing both the tasks; most medium and large healthcare facilities have different individuals responsible for the two different jobs.