Posts Categorized: Medical Billing & Coding

Get Ready for These 4 New Breast Mammography CPT Codes

People image created by Nensuria – Freepik.com As of January 1, 2019, the new CPT codes changes go into effect. Among other changes, new Breast Mammography codes have been added. Make sure your practice is ready to implement these coding changes in January. To revise, add or replace the following CPT codes to your AccelaCAPTURE or AccelaMOBILE…


How to Decrease Denied Claims

Denied claims are the main source of revenue loss for medical practices. Payers rules have gotten more strict, and every year there is a new set of ICD-10 codes to update. It is easy to have denied claims, and it is costly to resubmit them. However, it is even more costly to ignore them and…


Tips & Tricks – Are your Myalgia ICD-10 codes up to date?

Myalgia, or muscle pain, is a common diagnosis frequently included on the electronic  AccelaCAPTURE and AccelaMOBILE forms. Effective October 1, 2018, the single ICD-10 code for Myalgia (M79.1) was replaced with Myalgia Unspecified (M79.10), Myalgia of Masticiation Muscle, Myalgia of Auxiliary Muscle (M79.12), and Myalgia Other Sites (M79.18). Question: When you validate a batch in AccelaSMART, are the…


Improve HCC Coding for Revenue Cycle Staff

As Risk Adjusted Coding gathers steam, I get more questions about HCC coding.  Today, we are going to look at some specific strategies for improving HCC Coding for revenue cycle staff.  Many coders do not have a lot of experience with HCC Coding.  The term HCC Coding may be new, but the concept is probably…


Modifier Rule Education

As anyone in the coding world knows, modifiers are a critical component for accurate billing and maximum reimbursement. The notorious complexity of modifier rules creates considerable lag when it comes to the forms review and editing process. The questions below highlight key factors that must be taken into account when applying modifiers to procedures. 


Drug Reporting in 5010 Transaction Set

The new 5010 claim standard is driving new requirements in drug reporting, specifically for drug quantity and the unit of measure.


Medical Coding Today

Accurate medical coding is essential to getting paid, regardless of the method used by the physician for capturing the charge data (e.g., paper encounter forms, electronic medical record). Strictly entering the correct codes for a procedure or diagnosis is never enough. After a physician finishes documenting a patient encounter, the claim is sent to the…