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

2004-2024 Celebrating 20 Years of Healthcare RCM Articles

The Blog Currently Contains 1,265+ Healthcare Articles

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

Published By: Melissa Clark, CCS-P on March 23, 2020

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

Published By: Melissa Clark, CCS-P on March 11, 2020

5 Common Reasons for Medical Claim Denials

“When a patient’s insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can temporarily leave claim status up in the air – something both your practice and your patient would like to avoid. Understanding common reasons for claim denials is key to preventing them. The insurers your practice works with may offer software tools to help you prevent claim rejections (which are claims that aren’t processed due to clerical errors) and claim denials (where claims are considered, but payment is denied) so it’s important

Published By: Melissa Clark, CCS-P on March 9, 2020

HHS Finalizes Strategies to Combat EHR Clinician Burden

“Divisions of HHS worked together to develop strategies for addressing the four main causes of clinician burden stemming from EHR use. The Department of Health and Human Services (HHS) published a set of strategies, Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs, aimed at combating health IT-related burdens on healthcare providers. The report fulfills a provision in the 21st Century Cures Act requiring HHS, the Office of the National Coordinator (ONC), and the Centers for Medicare and Medicaid Services (CMS) to produce a report for Congress on the strategies and recommendations to aid this overwhelming epidemic. Clinician burden is primarily linked to

Published By: Melissa Clark, CCS-P on February 24, 2020

What does a study of medical coders reveal about Artificial Intelligence?

“Greater attention to human factors and new techniques may change the way artificial intelligence is trained with small data, according to an article published by Harvard Business Review. Researchers from Accenture wanted to see if opportunities lay within smaller data sets that go unused by organizations. For their study, the researchers focused on annotations added to medical charts by medical coders. With their tens of annotations on each of several thousand charts, the annotations are much smaller compared to data sets with a billion columns and rows. In the experiment, the coders studied RNs who regularly used AI in their coding processes to link medical conditions with proper codes. The

Published By: Melissa Clark, CCS-P on February 18, 2020