Biopsy, or Removal, that is The Question.
While William Shakespeare was not involved in writing the CPT coding rules, they can sometimes be just as hard to understand, if not harder, than the...
Coding Conundrum: SPRAVATO® (Eskatamine), Part 2
Welcome back to Coding Conundrum: SPRAVATO® (Eskatamine), Part 2! In part 1 I reviewed proper reporting for Spravato®, including drug administration....
Coding Conundrum: SPRAVATO® (Eskatamine), Part 1
In 2019, The U.S. Food and Drug Administration approved SPRAVATO® (Eskatamine) nasal spray to be used in conjunction with an oral anti-depressant for...
Are you capturing ultrasonic guidance for your in-office procedures?
Are you capturing ultrasonic guidance for your in-office procedures? The CPT® code description will indicate when these codes include this guidance,...
Embracing AI in Coding and Auditing Processes for Enhanced Efficiency and Accuracy
By embracing Artificial Intelligence (AI) in your coding and auditing processes, you can achieve unprecedented efficiency and accuracy, giving your...
Keeping Your Health Information Safe: Why Vendor Security & Compliance Matters
Most hospitals and clinics rely heavily on third-party vendors for various services. While these partnerships are critical to clinical and financial...
Facing Challenges Uniting Providers, Coders, and Compliance Auditors?
Are you facing challenges uniting your providers, coders, and compliance auditors to navigate E/M coding guidelines accurately? You're not alone....
Is Volume Decline Hurting Your Medicare Reimbursement?
Is Volume Decline Hurting Your Medicare Reimbursement? Explore Volume Decrease Adjustment (VDA) Opportunities!
MAC Desk Review Checklist
Preparing for a MAC (Medicare Administrative Contractor) desk review is essential to ensure accurate cost reporting and compliance. Here are some...
The Appeals and Review Process for Claims
Palmetto GBA the MAC for Jurisdiction J Alabama, Georgia and Tennessee recently published some helpful information defining appeals and the review...
CMS' Latest MLN on Telehealth Services
CMS released it’s latest MLN on telehealth services in February of this year. The additions include the new codes allowed for CY2024, the new and...
The Value in Outsourcing Your Reimbursement Department
The shortage in finance and reimbursement candidates is not the only reason that a healthcare provider should consider outsourcing its reimbursement...