In Audit
Oct 16th, 2017
You billed the insurance company for a service provided by your office only to receive a denial remittance. Is the denial valid? Why wasn’t the claim paid? Who can review the explanation of benefits summary and make a determination? Enter the appeals analyst — an essential position for physician offices, hospitals and clinics, as well ...
In Coding
Oct 16th, 2017
2018 ICD-10-CM includes many new, revised, and deleted diagnosis codes, some of which pertain to mental disorders. To save you the time it takes to cross walk these codes to their Diagnostic and Statistical Manual of Mental Disorders (DSM-5) counterparts (or vice versa), the American Psychiatric Association (APA) has done it for you. For 2018, there ...
In Coding
Oct 9th, 2017
Generalized anxiety disorder (GAD) is excessive fear and worry that an individual finds difficult to control. The disorder develops gradually, and can begin at any age. According to the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the anxiety and worry are associated with three (or more) of the following six ...
After hours visits benefit both the patient and insurer, and can boost your reimbursement when used correctly. Not every patient visit to the physician office occurs during standard business hours. CPT® provides dedicated codes to account for office services provided during off hours, such as weekends, holidays, or evenings. Applied judiciously — and with the ...
Listen to the advice of others before making up your mind. Coders entering the healthcare industry at the turn of the century had it easy: Their only tools of the trade were CPT®, ICD-9, and HCPCS Level II books. Today, coders have options. New technology has many new coders wondering whether they should invest in ...