Medical Coding and Billing Guidelines. Please see the Coding of Peripheral Nerve Stem leads according to scenarios modifiers will be changed, below it is explained. While talking about the state Arkansas, and Sprint Peripheral Nerve Stem, the doctors will get $10,100 which is correct because as per adjusted rate calculation for a Arkansas ‘dual kit’ […]
Empower Your Skills, Boost Your Medical Coding Game! Lets start with Colonoscopy Coding. Welcome to the fascinating world of colonoscopy coding! This episode aims to demystify this complex topic and equip you with practical tips to conquer it with confidence. Understanding Colonoscopy: Let’s begin with the basics. A colonoscopy, as you know, examines the colon […]
Revised Cigna Policy-A Concern for Physician Practices What is Modifier 25? Modifier 25 is a coding modifier used to indicate that a significant, separately identifiable evaluation and management (E/M) service was provided on the same day as another service or procedure. evised Cigna Policy for modifier 25 limits the use of this modifier in certain […]
The Importance of Taking Care of Your Mental and Emotional Well-being In today’s fast-paced and stressful world, taking care of one’s psychic health has become more important than ever before. It is essential to recognize that mental and emotional well-being is just as important as physical health, and neglecting it can have serious consequences. This […]
A Comprehensive Guide Medicare is a federal health insurance program that provides coverage to millions of Americans aged 65 and over, as well as those with certain disabilities or chronic conditions. Medicare beneficiaries can choose from a variety of plans, including Original Medicare, Medicare Advantage, and Medicare Supplement plans, to meet their healthcare needs. To […]
What’s the Difference between these two? Credentialing Explained: Validating a healthcare provider in a private health plan and the approval to join the network is credentialing Enrollment Explained: While enrollment represents to the process of requesting participation in a health insurance network as a provider. Payor Enrollment, Credentialing Bringing new healthcare providers on board is […]
HCCs (Hierarchical Condition Categories) aren’t a new idea, but they didn’t attract wide interest until CMS began shifting more payment toward value-based programs, particularly MACRA, which affects clinician reimbursement. Organizations are rapidly shifting towards it. HCCs Explained: So there has been renewed interest in the concept. And it makes sense – without solid basic knowledge […]
Due to the growing number of payers, it has been noted that payment collection for emergency department and urgent care providers is getting more difficult. As a result, it appears that the breadth of the capacity of payment charges is decreasing. Particularly when elements like reimbursement, payer mix, and others are important to enhance the […]
