Posts Categorized: Medical Billing & Coding

Top 5 Diagnosis Additions for Orthopedic Practices

Business photo created by freepik – www.freepik.com We collected data from our entire client base, and these were the top five diagnosis additions that orthopedic practices are making. If you are a coder at an orthopedic practice, most likely you will not be surprised by these results. However, this is an opportunity to measure against…


This Claim Denial Statistic Will Blow You Away

Business photo created by katemangostar – www.freepik.com Here’s a jaw-dropping statistic about denied claims: Over 50% of denied claims are never resubmitted. Surprised by this number? If it seems far-fetched, you may want to take a closer look at your denial numbers. The fact is that denied claims are easy to forget about. As the revenue…


Are You Correctly Coding for Durolane Injections?

People photo created by Dragana_Gordic – www.freepik.com As of January 1, 2019, a new HCPCS code J7318 “Hyaluronan or derivative, durolane, for intr-articualr injection, 1mg” became available to treat joint pain (Knee, hip, and other joints) usually caused by osteoarthritis. Typically, durolane is administered to patients when other osteoarthritis treatments or pain drugs have proven…


Understanding ICD-10 Specificity

As we begin the fourth year since the introduction of ICD-10, some practices are beginning to see an increase in denials and reduced reimbursements due to the use of unspecified diagnosis codes. Now that the grace period has passed, insurance companies are expecting more from practices with regards to coding specificity. If your practice is experiencing…


Here’s Proof That Advanced Revenue Cycle Analytics Really Improves Efficiency

Business photo created by pressfoto – www.freepik.com This year, the hot topic for healthcare leaders is big data. Healthcare leaders agreed that the number one opportunity for them this year is analytics. Leveraging insightful, quality data can lead to real results. But how does this work? Are analytics really that beneficial? We have seen more and…


Coder & Biller Turnover: Is Your Practice Prepared?

 Background image created by Ijeab – Freepik.com The Bureau of Labor Statistics projects the number of biller and coder jobs to increase by 13% by 2026. Not only that, but the current unemployment rate in the U.S. is around 4%, down from 10% in 2010. These statistics indicate what many practice managers may already know, that competition…


How to Automate Your Medical Coding Like a Pro

For medical practices to get ahead in 2019, automating the coding process is a necessity. But just using automation tools is not enough. There are those who get the full ROI out of their coding automation, and those who lag behind. Exception Only Workflow When it comes to automating your medical coding process, the first…


Analytics Is the Number One Opportunity for Healthcare Executives in 2019

2019 more than ever will be a year that practices need to take advantage of advanced revenue cycle analytics. Practice managers are no longer satisfied with merely observing the bare minimum metrics, such as net days in accounts receivable, or claim denial rate. The HealthCare Executive Group voted on and ranked what they believe are the…


9 New CPT Codes For Fine Needle Aspiration (FNA) Biopsy

Background image created by Nensuria – Freepik.com With the start of the new year comes the annual CPT code update. Effective January 1, 2019, several new CPT codes will become available for reporting Fine Needle Aspiration (FNA) Biopsy. FNA biopsies are reported based on the type of imaging modality (ie. ultrasound, fluoroscopy, CT, MR, etc)…


When to Use Post-Op Modifiers 24, 58, 78 and 79

Medical image created by Peoplecreations – Freepik.com Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or service accurately. Global periods are one of those variables. A global period is the amount of time before,…