Medical Billing Blog with Medical Billing & Coding Info & Articles

Welcome to the Medical Billing and Coding Blog

Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding ICD-10, HIPAA and all practice management functions.

Click any of the article links below or browse by section to the right to read articles on a specific subject.

Currently contains over 1,210 healthcare and medical related entries.

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Better Data Collection is Key to Addressing EHR and Claims Data Discordance

“There is a moderate agreement between EHR data and Medicare Part D (MPD) claims data for the receipt of oral anticancer agents, which are a popular treatment option for cancer patients, according to a study published in JAMA Network Open. The study, conducted by the Texas Cancer Registry and The University of Texas MD Anderson Cancer Center (MDACC), found that 73.8 percent of the EHR data and MPD claims data overlapped, with 176 data sets shown in both and 123 sets not shown for either. Oral anticancer agents are becoming more popular and equally as expensive, leaving policymakers to uncover data about how patients use them, which then allows for

By: Melissa Clark, CCS-P, RT - CEO
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EMR Documentation Issues During the COVID-19 Pandemic

Physician News posted a great article discussing EMR documentation issues during the pandemic. As hospitals are overwhelmed with COVID-19 patients and staff are stretched to their limits, electronic medical record (EMR) documentation may suffer as a result of rushed, less detailed and error-prone entries. EMR workarounds are also expected to flourish. In the current medical malpractice climate where greater scrutiny can be placed on the EMR and audit trail over the medicine itself, it is very important to maintain an accurate chart. There are steps that can be taken now to prepare for anticipated documentation issues related to care rendered during the COVID-19 pandemic. The most important recommendation is to

By: Melissa Clark, CCS-P, RT - CEO
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97% of Physician Practices have been Financially Affected by COVID-19

According to Medscape, a recent survey shows that almost half of medical practices are having to furlough Staff, and 1 in 5 have had to layoff staff due to the financial strain of COVID-19. “Clinicians all over the country already likely know this, but a survey by the Medical Group Management Association (MGMA) makes it official: 97% of physician practices have experienced negative financial effects directly or indirectly related to COVID-19. The survey, which was conducted April 7 – 8, also shows that 55% of practices have seen a decrease in revenue, and 60% have experienced a decline in patient volume since the beginning of the COVID-19 crisis. A significant

By: Melissa Clark, CCS-P, RT - CEO
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Five ways interoperability plays a role in addressing the coronavirus epidemic

HealthIT Answers has an article outlining five ways data interoperability can play a pivotal role in addressing the epidemic… “Even as capacity restrictions force organizations to work without barriers—via drive-thru screenings, make-shift tents or by way of telehealth—real-time access to data can help streamline care management, whether fast tracking admissions or empowering patients at home through online portals. Here are five ways data interoperability can play a pivotal role in addressing the epidemic: Coordination of Care: COVID-19 provides a sobering reminder of just how much a fully integrated, scalable and interoperable healthcare infrastructure is needed. Coordination among first responders, public health officials, labs, acute, and post-acute facilities will be critical

By: Melissa Clark, CCS-P, RT - CEO
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CMS adds 85 more Medicare telehealth services and codes

Becker’s Hospital Review posted that CMS issued various regulatory changes on March 30 to further support hospitals’, physicians’ and other healthcare organizations’ capabilities during the COVID-19 pandemic, including expanding Medicare coverage of telehealth visits.  On March 17, the Trump administration announced CMS will temporarily pay clinicians to provide telehealth services for beneficiaries during the pandemic. CMS is now expanding Medicare coverage of 85 additional services provided via telehealth, including emergency department visits and initial nursing facility and discharge visits.  Here are the 85 additional services, and their respective codes, that CMS will cover when provided via telehealth through the duration of the pandemic:  1. 77427: radiation management 2. 90853: group

By: Melissa Clark, CCS-P, RT - CEO
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COVID-19 and the Science of Social Distancing

Medscape published great article discussing the science behind social distancing and the NPI guidelines.   “Social distancing and other non-pharmaceutical interventions (NPIs) have proven to be effective tools in most pandemics. But their effect on the spread of the novel coronavirus is not yet clear, experts say. The goal of NPIs — which include personal actions, such as staying at home when sick and washing hands, and communal ones, including school closures and canceling mass gatherings — is to flatten the height of the infection curve and build herd immunity, thus buying time to increase hospital capacity and to come up with drugs or vaccines to treat the illness. State

By: Melissa Clark, CCS-P, RT - CEO
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Tips for Running Your Medical Practice during the Coronavirus Crisis

“At one large practice in Bergen County, New Jersey, the waiting room is empty — but its patients are still receiving care. As of mid-March, the practice is still operating, thanks to the group’s willingness to adapt its work flow, sometimes radically, to mitigate the threat of the COVID-19 pandemic. For example, patients now call the receptionist from their vehicles when they arrive, and wait there until receiving a call back telling them the clinician is ready. The practice has also started using telemedicine for the first time, to the extent it can be adopted in a hurry, and some clinicians are working from home on tasks such as medication

By: Melissa Clark, CCS-P, RT - CEO
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7 things to consider when billing and coding for Coronavirus

Becker’s Hospital Review shows us 7 things to consider when billing and coding for Coronavirus…   1. CMS developed Healthcare Common Procedure Coding System code U0001 to allow laboratories and healthcare providers to bill for using the CDC’s RT-PCR Diagnostic Test Panel. Healthcare organizations should use HCPCS code U0002 to bill for validated, in-house developed COVID-19 diagnostic tests, according to CMS. 2. Beginning April 1, laboratories and healthcare providers can bill Medicare and other health insurers using codes U0001 and U0002 for services provided on or after Feb. 4. 3. Local Medicare Administrative Contractors will develop the payment amount for claims received for codes U0001 and U0002 in their respective

By: Melissa Clark, CCS-P, RT - CEO
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