In Billing
Oct 19th, 2018
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and ...
In Coding
Oct 18th, 2018
We’re accustomed to flu season, but acute flaccid myelitis season? What is that? Acute flaccid myelitis (AFM) is a rare and serious condition affecting the nervous system — primarily spinal cord gray matter. The afflicted are usually very young children, with the average age being 4 years old. According to the Centers for Disease Control and ...
 Various flu strains circulate each year. Be sure you can properly report the vaccine. Influenza can be a serious condition, and the best way to avoid getting the flu is to have an annual flu vaccination. All Medicare patients may receive a covered flu vaccination, once per influenza season, and additional flu shots also may ...
Oct 10th, 2018
UnitedHealthcare (UHC) has issued a clarification to its Skin and Soft Tissue Substitutes medical policy (2018T0592A) in regards to DermACELL®. Behind the Decision DermACELL® (LifeNet Health®) is advanced human acellular dermal matrix intended for the treatment of chronic wounds and soft tissue reconstruction such as implant-based breast reconstruction. A recent report for DermACELL concluded that ...
An interview between a surgical coder and a breast surgeon uncovers essential clinical and medical coding guidance. Breast health is an important topic for all women, and should be for men, as well. It’s especially important for Sasa-Grae Espino, MD, breast surgeon at Southside Physicians Network in Petersburg, Va. She is passionate about educating her ...