Posts Categorized: Medical Billing & Coding

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

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 more proof that they do work, and…


Coder & Biller Turnover: Is Your Practice Prepared?

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 for the best billers and coders is…


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

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) and the number of lesions biopsied. For FNA…


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

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, during and after a surgical procedure during…


Get Ready for These 4 New Breast Mammography CPT Codes

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 forms, please contact White Plume support (www.support@whiteplume.com)….


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…