Congress developed E/M standards and recommendations in 1995 and amended them in 1997.E&M is the abbreviation of evaluation and management codes. E/M coding is the process of converting physician-patient encounters into five-digit CPT codes to enable billing. This coding scheme involves using CPT codes ranging from 99202 to 99499 to reflect services rendered by a physician … [Read more...] about Guidelines For E&M Codes
Medical Billing Process
What exactly is HCC Coding? Guidelines to Risk Adjustment Model
HCC coding stands for hierarchical condition category coding. The Centers for Medicare and Medicaid Services (CMS) implemented HCC coding in 2004 to help estimate Medicare enrollees' healthcare costs for the coming year. An HCC is a kind of chronic medical condition with similar cost patterns. Individual HCCs include diabetes, chronic obstructive pulmonary disease (COPD), … [Read more...] about What exactly is HCC Coding? Guidelines to Risk Adjustment Model
How To Do Medical Coding Audit?
Medical auditing is a systematic approach to peer assessment of medical treatment that identifies and implements possibilities for improvement. Almost any aspect of healthcare can be audited, although most audits focus on payer payment systems to assess compliance with payer guidelines, federal and state legislation. The medical audit plays an important part in a … [Read more...] about How To Do Medical Coding Audit?
Medical Coding Services and Coding Audit
Accurate and efficient medical coding is essential to the ability of the health care company to achieve its financial and regulatory objectives. Outsourcing your medical coding services allows you to fulfil the financial and compliance objectives of your company. Proper medical coding services ensure that mistakes are minimized, lags are decreased, and revenues are optimized. … [Read more...] about Medical Coding Services and Coding Audit
How To Improve Medical Coding Quality
Medical coding is an important part of the claim cycle and is required for claim reimbursement. Incorrect coding can harm your practice in various ways, including lost revenue, potential overpayments, and assertions of abusing reimbursement guidelines. Medical coding has an important impact on revenue cycle performance, so analyzing your coding department is necessary. It can … [Read more...] about How To Improve Medical Coding Quality
