Articles

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Reporting Medical Necessity with Z codes

In this article we take a look at the importance of healthcare reimbursement for asymptomatic encounters. We will look at identifying primary diagnosis requirements that drive reimbursement, how to get paid for postoperative treatment visits and underutilized reporting when it comes to Social Determinants of Health. Medical Practices care for patients for a variety of …

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Breast Cancer Awareness: Diagnosis, Treatment, and Getting Paid

Contributors: Chasity Speaks and Megan Johnson In October we raise awareness for Breast Cancer since it is the second most common cancer that women in the United States face according to the CDC. Every year in the United States, we see cases of about 264,000 in women and 2,400 in men. The mortality rate for …

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Calculating your Lesion and Wound Coding

How are you doing with your Lesion and Wound Repair Coding? Many Physicians across specialties perform skin procedures so it’s important that we understand the proper coding and documentation required. Knowing the guidelines for Lesion Excision and Wound Repair is crucial because at times they are bundled and the calculation methods are very different. Let’s …

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Radiation Oncology Audit Insights

Are you struggling with your Evaluation and Management reimbursement for Radiation Oncology services? Radiation Oncology has nuances, and you may be leaving money on the table without a good understanding of how the 2021 Evaluation and Management guidelines impact Oncology services.

When capturing Evaluation and Management services, the goal is to capture the true data behind the risk and problems addressed to report the service accurately. Beyond the reimbursement, what else does the accuracy of code capture do?

Opthalmology Evaluation under the Microscope

In 2004 I took on my second specialty in Healthcare in the world of Opthalmology. I was introduced to the specialized procedures and services performed by professionals in this space. Over the next few years I dug into this specialty learning the Anatomy, Disease Process and importance of eye health. Years of Audits led me …

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