Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
In Billing
Sep 10th, 2015
by Linda Martien, CPC, CPC-H, CPMA Denial management can encompass any aspect of the revenue cycle that may result in no or low reimbursement. The reasons for the denials can include: incomplete or inaccurate insurance information; lack of pre-certification or prior authorization; not capturing all of the tests or procedures; diagnoses and procedure coding errors or ...
Part 5: Put it all together: reports and analytics. By Linda Martien, CPC, COC, CPMA The complexities of medical insurance, including the way services are billed and collected, work against quick payment. But, as we’ll explore, you can affect the extent to which you are paid in full from patients and providers, thereby reducing accounts ...
In Coding
Jul 9th, 2014
By Doug Arrington, MSN, FNP, CPC, CPC-H, CPMA, CHC, CHRC The other day I was in the clinic talking with the management staff. They were so relieved that there was another year before ICD-10 was going to be implemented. They all thought that they could put everything on hold for 10 or so months. As ...
In Billing
May 1st, 2014
Monitor financial performance and mitigate risks associated with the pre- and post-transition to ICD-10. By Ken Bradley Now is the time for physician practices to get revenue cycles in order—not six months before ICD-10 implementation. If the transition is anything like the adoption of 5010 transaction standards and national provider identifiers, ICD-10 will lead to more ...