Today’s medical billing and coding professionals are under constant pressure and deadlines to work ever faster while improving efficiency. Accuracy and speed are nearly an oxymoron, yet coding professionals can frequently find these in the same sentence of their job …
Over the past decade medical costs have been steadily rising faster than inflation. There are several explanations for this, and logically one could surmise that one of them is upcoding, the practice of a health care provider or medical coder …
Many medical billing and coding professionals have had the unfortunate experience of having their submissions denied. Contrary to being ashamed, professionals can use these as opportunities to learn from their mistakes, and most employers will forgive the inevitable return provided …
Question: What can auditors do to liven up a party? Answer: Not show up. While there are plenty of mediocre auditor jokes, it is even less amusing to become the subject of a payer audit. Unfortunately though, for medical billing …
The Centers for Medicare and Medicaid Services (CMS) has one of the largest influences of any single agency on the medical billing and coding profession. CMS has an enormous affect on determining the rate at which medical services are provided, …
With recent news stories about NSA programs breaking sophisticated encryption codes and state-sponsored cyber terrorism, questions about the security of digital information cannot be far from the minds of any medical billing and coding professional. Especially since the 2009 Health …
A $1.5 million fine is nobody’s idea of a good time, even less so spending ten years in prison. These are the maximum penalties a person or business can face under new legislation for HIPAA violations, a very pertinent topic …
October 1st, 2014 is the current date declared by the Department of Health and Human Services when coding based on the ICD-10, shorthand for the International Classification of Diseases Tenth Revision, will go into effect, replacing its outdated predecessor by …
Medical billing and coding professionals working in the United States may be curious to know how their profession works in other countries. The American system of payment combines government and private insurance reimbursement for medical services performed at private, non-profit, …
One of the first studies to grab headlines in the new year found that those who were covered by Medicaid made more emergency room visits than their counterparts who did not have health insurance. For the medical billing and coding …