Medical Billing Blog: Section - Claims

Archive of all Articles in the Claims Section

This is the archive containing links to all articles written in the Claims section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Telemedicine and Coding for Remote Blood Pressure Monitoring

Telemedicine has grown rapidly because it allows the remote delivery of healthcare services during the pandemic. Telemedicine tends to lower healthcare costs, expand the patient database, and offer flexible working conditions for physicians and health care providers. It reduces physical office hours and saves overhead costs, like payroll for hourly employees, utilities, and other various expenses associated with an office being open. Remote Patient Monitoring is a key component of Telemedicine. It allows the physician and the patient’s care team to get real-time data thereby enabling communication without an in-person appointment. The Center for Medicare and Medicaid Service (CMS) introduced new Current Procedural Terminology codes for Remote Patient Monitoring (RPM)

Published By: Melissa Clark, CCS-P | No Comments

Medical Billing vs Medical Coding, What’s the Difference?

Medical coding and medical billing are two of the reimbursement systems within the healthcare organization. The professionals who perform these tasks are known as medical coders and medical billers, respectively. The work of medical coders and medical billers is to analyze medical treatments received by patients while at a healthcare facility to coordinate payments from insurance companies and patients. In this article, we will discuss the difference between medical coding and medical billing. However, it is important to have a brief understanding of what medical coding and medical billing entail. What is Medical Coding? Medical coding is a way of converting healthcare diagnosis, procedures, medical services, and equipment into universal

Published By: Kathryn Etienne, CCS-P | No Comments

Flu Season is Nearly Upon Us… Medical Coding for Influenza Vaccine

Since Flu season is rapidly approaching, we decided to take a look at the medical codes that are utilized for billing of vaccine shots.   First of all, what exactly is the Flu? Flu is short for Influenza, which is a contagious respiratory disease caused by the Influenza virus. Influenza virus infects the nose, throat, and in a rare condition the lungs. The symptoms can be mild to severe. The most common influenza symptoms include high fever, sore throat, headache, coughing, runny nose, muscle and joint pain, and fatigue (body weakness). This virus generally occurs during the winter months. Influenza is a serious health condition that can lead to pneumonia.

Published By: Melissa Clark, CCS-P | No Comments

Tips for Recouping Lost Revenue From COVID-19 Pandemic

Craig Adkins of AdvancedMD gives HealthIT Answers some tips of how to recoup some of the revenue lost during the pandemic in this article mention. “The past few months of the pandemic have brought many challenges to physician practices, especially small, independent providers operating outside the domains of COVID-19 treatment. While mandatory shutdowns and quarantines have slowed the spread of the virus, the economic impact has been substantial. Fewer outpatient visits—and even fewer procedures—over the past several months have led to serious financial hardship for many providers. Practices that will stay afloat during this challenging time are doing so strategically. In some cases, practices planned for a “rainy day” and

Published By: Melissa's Mentions | No Comments

EHR Training and Experience Lead to Decreased EHR Use by Residents

Are you satisfied with your EHR? Do you spend 40% of your day in your EHR? Research shows that some physicians do..   “Physicians at large community hospitals spend nearly four hours during work hours, or roughly 40 percent of their day, on the EHR, according to a study published in the Public Library of Science (PLOS ONE). Additionally, researchers found a significant decrease in resident EHR use with increased training and experience, although the overall amount of time spent on the EHR remained high. “Studies exploring EHR use emphasized extensive time as one of the significant drawbacks to EHR,” wrote the study authors. “It has been reported that physicians

Published By: Melissa's Mentions | No Comments