Category Archives: Coding & Billing
Public Health Emergency Extended
The Department of Health & Human Services announced on Friday that it is extending the PHE until January 16, 2022. This means that all of the waivers remain in place. This is good news for providers and patients who have … Read Full Post
Admin Codes for Third Dose of COVID-19 Vaccines
Once the FDA authorized a third dose of the COVID-19 vaccine, the American Medical Association released new administration codes. These codes cover the actual work of administering the vaccine, in addition to the counseling provided to patients or caregivers and, … Read Full Post
ICD-10-CM Changes for 2022
Changes to ICD-10-CM codes happen every year and 2022 (which coding-wise begins on October 1, 2021) is no different. AAPC reports that 159 codes were added, 25 were deleted, and 27 ICD-10-CM codes were revised. This addendum from CMS explores … Read Full Post
Hidden MRA Treasure – Part 2
In Part 1 of this series, we reviewed ICD-10-CM code I77.1 and explained that there are some often overlooked conditions that increase your risk adjusted payments. This time, we’ll focus on ICD-10-CM code J84.10, Pulmonary fibrosis, unspecified. This code was … Read Full Post
Billing No-Nos: Payment Plans on Auto-Pilot
Patients unable to pay their entire outstanding balance aren’t a new phenomenon. Administrators try to minimize the likelihood of an unpaid balance by verifying the patient’s eligibility prior to the visit and by understanding the patient’s coverage for specific services … Read Full Post
Hidden MRA Treasure – Part 1
In the early days of the CMS-HCC model, providers were not versed at all on the inner workings of the risk adjusted payment paradigm or the conditions included. And admittedly, much has changed in these 18 years. Most providers know … Read Full Post
Billing No-Nos: Selective Billing Activities
Much in the same way no one instrument is the most important in an orchestral piece, so no one aspect of the billing process is the most important. The stops along the billing route all contribute to the steady flow … Read Full Post
MRA Issues from the Trenches
We have blogged quite extensively on all things MRA and especially the need for solid documentation. Historically, a provider’s charting improves when the spotlight is shined on it, but old habits are hard to break; we find that, sadly, documentation … Read Full Post
Billing No-Nos: Ignoring Your A/R – Part 2
Welcome to Part 2 of Billing No-Nos: Ignoring Your A/R. In Part 1, we discussed the need for every practice owner and manager to know their accounts receivable, and we hope you’ve taken steps to review those reports. The next … Read Full Post
Billing No-Nos: Ignoring Your A/R – Part 1
Quick… off the top of your head, what’s the approximate dollar value of your practice’s accounts receivable (A/R)? Many providers (and administrators!) will say they don’t know. Our question to you is: why not? In Part 1 of this two-part … Read Full Post