Primed Billing

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

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The National Center for Health Statistics (NCHS), the Federal agency responsible for use of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) in the United States, has developed a clinical modification of the classification for morbidity purposes. The ICD-10 is used to code and classify mortality data from death...

Oxygen Removed from Non-Moderate Sedation Post-Procedure Monitoring

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The Centers for Medicare & Medicaid Services (CMS) finalized in the 2018 Medicare Physician Fee Schedule (MPFS) final rule their proposal to remove oxygen gas supply item (SD084) from a series of CPT codes that were previously valued with moderate sedation as an inherent part of the procedure. It occurred to CMS, after finalizing the...

How to Become a First-Class Medical Coder?

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Medical coding is a job for intelligent readers. Doctors forward the diagnosis and treatment details to the medical billing service companies. Medical coding staff interpret those healthcare jargons, for instance, the names of diseases and assign them medical codes according to a universally accepted coding system. The billers send those claims with codes to...

Pursue A Career In Medical Coding

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A medical coder is a person who transforms descriptions of medical diagnoses and procedures into universal medical codes (either numeric or alphanumeric). Different codes are used to describe different symptoms, acuteness, treatment procedures, and other aspects of a disease. A medical coder is granted the access to patients' health records in order to make...

Medical Job Search Checklist

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Medical job searches have become a trend. The medical industry is experiencing a huge surge of interest in historically popular job markets. The demand for these positions is growing, as many people have returned to school to prepare for a career in the healthcare industry. This is due to career stability, positions options, and...

Introduction to Medical Coding

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Medical coding is the process of assigning standardized numerical codes to patient health care charts. This coded information is used to ensure that insurance companies, government organizations, such as Medicare, and patients alike all receive accurate billing statements for health services performed. Medical coders perform the work of converting diagnostic and procedural information into...

Understanding Health Insurance in Virginia

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Health insurance remains one of the most talked about topics when it comes to products that are indispensable for residents of Virginia. With continued increase in healthcare costs, the importance of health insurance plans keeps increasing. It goes without saying that residents of Virginia without insurance coverage are at a greater risk of experiencing financial...

CPT 2018: E/M Aligns with Quality Care Initiatives

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Code changes affect nearly every specialty. CPT® 2018 introduces over 350 new Category I and III codes changes, as well as revised introductory guidelines, and new and revised parenthetical references. Two areas that have been consistently misinterpreted in the past are revised for more concise coding: (1) international normalized ration (INR) monitoring and education; and (2)...

Tips for Billing and Coding in Medical Offices

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The current economic climate is having a negative effect on physician practices. Flat or declining reimbursement, more regulatory paperwork, health reform, and IT implementation have but pressure on small practices. The good news is that there are ways to tighten up your belt and tune-up your practice going forward. Improving the revenue cycle starts with...

Medical Education Pathways – Part 1

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PART ONE - REALITIES OF MEDICAL EDUCATION IN THE STATES American medical schools have insufficient capacity to train the doctors needed by the growing and aging US population. In 2006, U.S. medical schools received almost 400,000 applications for 14,000 spots. Combined BA/MD programs report even more discouraging numbers: a well known seven-year program in the...

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