5 Coding Tips - Lesion Excision

5 Coding Tips - Lesion Excision

So many questions...is it benign or malignant, is wound closure included, does the size of the lesion matter, can I report more than one excision at a time? Coding excisions of lesions may seem complicated but if you follow these 5 steps below it should be a breeze. 

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Health Care Phone Scams

Health Care Phone Scams

The past couple years the number of scam and robo-calls regarding health insurance and private health information has been increasing, but as of 2019, these types of calls are becoming an epidemic. While the government has always warned to never give out private personal information over the phone to anyone claiming you have outstanding bills or expiring health benefits, recently most commercial and non-commercial health insurance provides now have pop-ups on their website warning their customers of such calls and scams.

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Maximizing Patient Payments

Being the bearer of bad news, someone must take on that roll. That role in healthcare is the act of collecting patient payments from services provided. Listed below are a few of the tips author Chris Selb in his article “5 Steps to Improve Patient Payments”. These tips aim to increase the percentage of patient payments being received.

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Opioid addiction

Opioid addiction

Opioid addiction is defined as a physical and psychological reliance on opioids, a substance found in certain prescription pain medications and illegal drugs like heroin. Opioids are substances that act on opioid receptors to produce morphine-like effects, primarily used for pain relief or during anesthesia.

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Securing payments

SECURING PAYMENTS: SELF-PAY PATIENTS AND EMERGENCY SERVICES

Emergency services and self-pay patients- something that emergency service providers do not like to hear used in conjunction with one another. But unfortunately, due to the Emergency Medical Treatment and Labor Act enacted in 1986 and the ever rising cost of medical care and unemployment rates in the US, this is a trend that continues to rise. Do not let this rising trend give you anxiety when it comes to reimbursement.

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Pocket sized healthcare

As healthcare keeps evolving, from virtual visits to AI intelligence, soon healthcare may be portable and so small you could carry it with you in your pocket. That seemed like a wonderful idea to Chang Hun Lee. At the age of 16, Chang was diagnosed as pre-diabetic along with being obese. This was a scare for Chang, pushing himself to get back on track before it was too late, he’s now a senior at University of Illinois pursing business.

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Denied claim

How to handle denied claims

                  Knowing how to best handle a denied claim is essential for correcting a situation and figuring out how to obtain the payment anyway. Unfortunately, denials management is a neglected area of the industry. Most people avoid it because it requires such specialized knowledge of the procedures as well as some intensive labor of talking to different people and filling out numerous forms. Below are some tips in regards to avoiding denials.

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Creating an Efficient Patient Strategy

The healthcare industry is often compared to the technology and retail industries, where the bottom line is exclusively tied to a consumer’s choice. Although it is obvious how opposite healthcare is from any other industry. A consumer buys something from Amazon or hails a ride from Lyft primarily because they want to, not because they have to. In healthcare, patients are not typically getting medical services by choice. Instead, they enter the industry when they are sick or in need of medical help.

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Amazon’s Huge Healthcare Deal

On November 28th 2018 Seattle e-commerce and technology giant unveiled what it calls Amazon Comprehend Medical, which the company says could help hospitals, clinics, and other healthcare organizations process patient information more quickly to glean new insights and, ideally, improve care by using Amazon’s software tools. Amazon has displayed an aspiring layout for the product. Despite the fact that the company has proven itself to be very skilled at building massive businesses in multiple sectors the new medical software presents a different kind of challenge due to the complexities of the healthcare industry today.

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2019 ORTHO CODING UPDATES

-New CPT add on codes allow providers to bill the following in addition to tumor removal procedures:

                  -20932-osteoarticular

                  -22093-hemicortical (partial) intercalary

                  -20934-complete intercalary

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ICD 10 Update

2019 ICD-10 UPDATES TO GUIDELINES

It is the time of year again that can cause mass chaos in medical practices, hospitals, and medical billing offices-the dreaded updates to ICD-10 guidelines and codes. Every year, the new guidelines become effective October 1 and are valid thru September 30. Staying on top of these changes and updates will in turn benefit all aspects of the billing cycle from educating providers to ensuring reimbursement is not affected. There have been updates/additions to the codes as well as changes to some of the guidelines. Below is a list of a few of the changes and a short description of the change.

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Are you being aggressive with your AR?

Running a successful medical practice involves solving many puzzles; one of the hardest is how to successfully deal with patients who don’t pay their bills.   Many medical practices turn to collection agencies for help. Although, too many health care providers insist the percentage agencies don’t live up to their expectations: 

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