Tagged with Medical Coding

Get Ready for the CPT E/M Codes Changes in 2023

The New Year means medical practices must be ready for new code and guideline changes regarding CPT Evaluation and Management (E/M).    The American Medical Association (AMA) released the guidelines regarding these medical codes effective January 1, 2023. Practices must be aware of them to prevent payment delays and run their businesses smoothly.    These changes include 225 new…

Want to Confirm a High-Level ED Code? Examine the Note

Marie Franklin, MBA. CPC, National Director of Coding, Education, and Audit, AdvantEdge Healthcare Solutions, informs readers in the tci Newsletters ED and Coding Reimbursement Alerts E/M, Want to Confirm a High-Level ED Code? Examine the Note provides the information you need to avoid upcoding your ED services.  To read the considerations for ED coding to…

“Flip’n Surgeons” –Calculating the Utilization Rate of Surgeons Who Flip Operating Rooms

By Joe Laden, Vice President Client Management                 Surgeons who “flip” ORs have two simultaneous operating rooms allocated to them and, therefore, have two anesthesiologists or two anesthesia care teams in these ORs.   For a very busy surgeon, this is usually good for the surgeon, hospital, and the anesthesiology group.   However,  some surgeons would like to…

Finding Creative Solutions for Hiring in a Full-Employment Economy

By Barbara Lewis, Director of People Services Hiring staff in a full-employment economy can be challenging even at the best of times. In the revenue cycle management industry, this can be especially difficult when one needs to hire medical billers. As we all know, the medical biller position is a critical function in the revenue…

2021 Proposed Changes for Evaluation and Management Services

By Marie Franklin, MBA, National  Director of Coding, Education, and Audit The proposed new rules for 2021 will focus on medical decision-making or time as the determining factor when selecting the appropriate level for service rendered for all physicians for evaluation and management. Currently, Medicare has not made Medical Decision Making (MDM) as one of…

CMS has Published the Physician Fee Schedule for 2020. The Time to Get Ready is Now.

By David Nicholson, Executive Vice President CMS has issued its final rule for the 2020 Medicare physician fee schedule, effective January 1. With the added complexity to billing and coding for physicians, how you manage the revenue cycle process for the practice is more important than ever.  For your convenience, I have summarized the major…

Some Healthcare Costs Are Going Down. Are yours?

By Joe Laden, Vice President of Client Management Overall healthcare costs have been rising over the years, due to factors such as the aging population and increased use of medical technology. The administration of healthcare reimbursement to providers accounts for a significant portion of healthcare costs, and some of these administrative costs have been decreasing…

Infographic – AdvantEdge Healthcare Solutions – Pathology

AdvantEdge Healthcare Solutions is a national top 10 medical billing company that is a leading vendor to pathology practices across the country for billing, coding, and revenue cycle management services since 1967.  If you have questions about how AdvantEdge can improve your pathology practice billing and coding so that you are collecting every dollar that…

Customer Service Should be an AdvantEdge in Your Practice

We all know the importance of customer service as it relates to patient experience and satisfaction with physician services in today’s healthcare environment.  Patients rank their satisfaction with the physician services in surveys by the practice, in the CMS Fee-For-Service CHAPS survey, and by other private survey companies like J.D. Powers, for example. Patients will…

CMS Targeted Probe and Educate Audit Program

By Jeanne A. Gilreath, CHBME, Senior Vice President and Chief Compliance Officer One of the many programs CMS has implemented to help providers identify billing issues is the Targeted Probe and Educate (TPE) audit program.   It is designed to identify providers with high denial rates or unusual billing practices according to CMS.  If a provider is…

Anesthesia RCM Specialty Challenges

By Joe Laden, Vice President Client Management Anesthesia billing and coding is an array of unique and complex specialty requirements not found in other medical specialties.  Though many billing and coding companies claim experience and expertise in anesthesia billing, the truth, when compared against actual performance, tells a different story. Given the unique aspects of…

Infographic – AdvantEdge Healthcare Solutions – Corporate

AdvantEdge Healthcare Solutions is a national top 10 medical billing company that provides billing, coding, and revenue cycle management solutions for specialty medical group practices since 1967.   If you have questions about how AdvantEdge can improve your billing and coding so that you are collecting every dollar that you’re legally and ethically entitled, please call…

Infographic – AdvantEdge Healthcare Solutions – Anesthesia Services

AdvantEdge Healthcare Solutions is a national top 10 medical billing company that provides billing, coding, and revenue cycle management solutions for anesthesia practices since 1989.   If you have questions about how AdvantEdge can improve your anesthesia billing and coding so that you are collecting every dollar that you’re legally and ethically entitled, please call us…

AdvantEdge
AdvantEdge