Direct primary care (DPC) is one of the newer forms of plans offered by primary care providers to their patient populations. Some see DPC as an alternative to traditional third-party payment for care and other more recent models such as concierge medicine. Primary care providers are tired of the consumable resources required to submit claims ...
When and how to use this modifier appropriately, that is the question. Surgeons work hard, so when they perform beyond the “typical” hernia repair or the not-so-usual third meniscal repair, a higher reimbursement is warranted. Appending modifier 22 Increased procedural services to the surgical code tells the payer the surgeon went above and beyond the ...
In Billing
Sep 13th, 2019
Incident-to billing for advanced practice providers (nurse practitioners, physician assistants, clinical nurse practitioners, nurse midwives, etc.) has been available to limited license practitioners since 1998. And the rules for what is required to bill incident-to are clearly defined by the Centers for Medicare & Medicaid Services (CMS). Yet, this privilege, which enables a limited license ...
In Coding
Sep 9th, 2019
In a world of uncertainty, one thing medical coders can count on is ICD-10-CM yearly updates. It’s already that time of year again when the Centers for Disease Control and Prevention (CDC) releases the ICD-10-CM code update for next year. Familiarizing yourself with the changes that go into effect Oct. 1 will help you capture ...
Emergency response and management are of great significance for reducing the financial and psychological burdens associated with healthcare delivery. Rapid urbanization, aging infrastructure, scarcity of resources, and population explosion have put a significant strain on the existing emergency response and management system. From natural disasters to the management of comorbid conditions, such as ...