Articles

The importance of accurately reporting ICD10-CM with ultrasounds

  In the coding world there is always an emphasis on the importance of documentation. We are all familiar with the saying “If it’s not documented, it wasn’t done”. We must also place equal importance on making sure all the information that is documented is also translated onto the claim. This is important for a …

The importance of accurately reporting ICD10-CM with ultrasounds Read More »

Unpacking the Global Package

Does the Global Package need unpacking? In order to answer this question, it’s important look at the value (RVU or Relative Value Unit) attached to certain procedures. The Global Package has applied to over 4,000 physician services since 1992. Over time, providers have been concerned about the valuation of many of these services. Inflation and improvements to certain procedures …

Unpacking the Global Package Read More »

Prior Authorization expansion on the move

Prior Authorization continues to be a significant barrier for patients and providers. It has caused greater financial waste for providers and increased delays for patients.   According to the AHA survey, one 17-hospital system reported spending $11 million annually just to comply with health plan prior authorization requirements.  Efforts to streamline and standardize have failed …

Prior Authorization expansion on the move Read More »

Complexity of Documentation and Data

In 2021, when the Evaluation and Management guidelines were revised, the area with the most confusion was ultimately the amount and/or complexity of data to be reviewed and/or analyzed. Like with other components, misunderstandings with definitions and descriptions were at the root of the problem. It is extremely important to read the full description and …

Complexity of Documentation and Data Read More »

a person taking notes while talking to the patient

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 …

Reporting Medical Necessity with Z codes Read More »