CPT codes numerically identify medical services and procedures that a patient received, and the code is made up of five numbers. Level II HCPCS coding level II was established in the 1980s as way to assign codes to services, supplies, and procedures not included in the CPT coding system, ...
Certified Coding Specialist (CCS): This credential is highly recommended if you’re seeking to work as a medical biller and coder in a hospital setting. A CCS credential indicates proficiency in medical terminology, pharmacology, disease processes and ICD-11 and CPT coding. Certified Coding Speciali...
Dementia is a neurocognitive disorder characterized by a meaningful decline in cognition and daily functioning. As of October 1, 2022, there were some significant changes in regards to reporting this condition, so it is important for healthcare professio
Medical codingis a fertile career option, offering medical coders the opportunity to work in a variety of settings including hospitals, doctors' offices, dental practices, health insurance companies, workers' compensation providers and the federal government. Many medical coders find work-from-home posi...
It may not be necessary to include a modifier if the description is contained in the ICD-10 coding. Like all billing scenarios, the use of a modifier can vary in reference to ICD-10 coding, so if you have any questions, it is best to check with the payor. Most Commonly Used CPT ...
An arcane subject to many doctors, correct coding is crucial in getting paid fairly for your services. Learning some key concepts and terminology will pay dividends in the long run. Despite their tendency to avoid the subject, doctors must take the responsibility for coding seriously. After all,...
Technically, you can have your admin handle claim scrubbing, but the complexity of CPT codes makes automation more reliable. What is included in a medical claim file? A medical claim file comprises a claim header and a claim detail. Together, these sections describe the patient’s medical back...
What CPT code(s) would this physician report? What organization first published the CPT coding system? What is case management in nursing? What is the ICD-10-CM code antiretroviral therapy? What are taxonomy codes used for? What code is used to report routine postoperative care?
The CPT Book The CPT book, or the Current Procedural Terminology book, is updated annually by the American Medical Association. In addition to keeping the most current edition on hand, doctors and their staff should review the introductory section on the CPT process and on coding for evaluation...
She has over 30 years of experience in the healthcare industry. With her degree in Management Information Systems (MIS), she has been a programmer for a large insurance carrier as well as a California hospital system. She is also the author and editor of many medical resource books and the...