Okay, so the whole country is deep in World Cup fever right now — 48 teams, 16 cities, and the final goes down right here on U.S. soil on July 19th at MetLife Stadium. It’s loud, it’s electric, and honestly? The healthcare billing world just got its own version of a penalty shootout. CMS dropped […]
If you have spent any time in healthcare billing, you know that denial codes can quietly drain thousands of dollars from your revenue cycle before anyone notices the pattern. Among the most misunderstood and frequently overlooked is the PR 31 denial code. It shows up on an Explanation of Benefits (EOB) or Remittance Advice (RA),
We get this question many times. What is HCC coding and why is it important? I wanted to take some time to give some background to this question. Hierarchical Condition Categories (HCC) coding is a system used by Medicare Advantage plans to classify and reimburse healthcare providers for the care of patients with chronic conditions.
As a reminder, Covid-19 Accelerated and Advanced Payments repayment will begin this year. The Continuing Appropriations Act established that repayment will begin “one year from the issuance date of each provider or supplier’s accelerated or advanced payment” Medicare will automatically recoup 25 percent of the Medicare payments owed for eleven months, If full recoupment is
Everything you need to know about billing Medicare for COVID-19 Vaccines, and certain Monoclonal Antibodies can be found from the link below: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies CMS has created a provider toolkit to provide further guidance and can be found from the link below: https://www.cms.gov/covidvax-provider
The Senate passed legislation last week to extend the pause on the 2% sequestration reduction through December 31, 2021. The house is expected to take up the bill the week of April 13, 2021, when it returns for a session after the holidays. It is fully expected that the bill will be passed through the
As we learned earlier this week, there has been a push for approval from the FDA for emergency use of a COVID vaccine. On the heels of the news, the AMA announced new CPT codes for each of the two COVID vaccines as well as administration codes for each vaccine. Releasing the CPT codes ahead
As tradition always had it, workers would clock in at their jobs at 9am and clock out at 5 pm. Sometimes, there would be instances in which the employees would be required to come into work early or stay late. With the advent of technology, however, the world evolved and came closer together. People were
Medical coding is the transformation o healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnosis and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc. But why we do need medical coding? Shouldn’t it be enough to list the symptoms,
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