Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...

Care Qventus launches gap and coding automation suite to improve patient care and increase reimbursement accuracy in real time.

Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement? A:With only a few exceptions, ICD-10-CM code assignment must be based on documentation by the ...

Let's forget about ICD-10 coding for a moment. Let's talk about how medical practices can make more money. There's an urologist in South Carolina who figured it out: "Two years ago Larry Rabon decided ...

There are very few people who would consider having dental treatment without anesthesia. Preventive services and routine teeth cleanings aside, one of the top reasons why people avoid dental care is ...

In 2021, 14 percent of Omaha, Neb.-based Methodist Hospital’s inpatient claims contained a social determinant of health diagnosis code, the highest percentage in the U.S, according to a study ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

Understanding codes on medical bills can help avoid billing mistakes. Healthcare providers use CPT, HCPCS, and ICD codes for services and diagnoses. Wrong codes can lead to unpaid claims or higher ...