MEDICAL CODING

Medical Coding and its Role in Revenue Optimization

Healthcare revenue cycle is impacted by different processes and their efficacy levels with each stage of a process showing its impact on the next stage and other processes. Healthcare providers and medical coding companies should work considering this fact and remember that even the minutest problems or mistakes that are left unaddressed can lead to […]

Ways to Take Control of Medical Accounts Receivables

One common thing that bothers healthcare providers is poor accounts receivables management and the unacceptable cash flows resulting thereby. Healthcare providers can focus on providing quality healthcare only when they have proper revenues and problems in accounts receivables result in loss of revenue. The revenue cycle management of a healthcare provider involves achieving the shortest […]

Guidelines Coders Should Follow to Pick Pain Codes

ICD-10-CM, the system that healthcare providers use to classify and code diagnoses and procedures of care provided, specifies certain guidelines to choose the codes assigned to pain management. Medical coding professionals should update their knowledge about the official guidelines for coding and reporting in order to assign codes with the highest levels of accuracy.  The […]

Understanding the Future of Healthcare Documentation

One of the most critical processes in the healthcare industry is healthcare documentation or medical transcription that eases the job of the physicians and the support staff to a great extent. For the people who want to make a career with the healthcare documentation jobs, the future really looks optimistic. There are many technological aspects […]

Essential features ASCs must look for in EHRs

It has been observed that the adoption of electronic health records (EHRs) across hospitals has reached more than 90% whereas the adoption of EHRs in ambulatory surgery centers (ASCs) is not even 10%. It is estimated that a less percentage of ASCs that are hospital owned or affiliated, use the hospital EHRs. The reason for […]

Dealing with Pre-Authorization in Medical Industry

Among the many frustrating and time-consuming processes, physicians are required to complete as part of their job is to deal with the pre-authorization. Getting pre-authorization for procedures to be performed is expensive in terms of time and productivity as it takes a considerable amount of time in getting it from the payers. Receiving pre-authorization for […]

Basics of Diagnostic Related Grouping in Medical Coding

A diagnostic related grouping (DRG) is a system based on which Medicare and other health insurance companies categorize a patient’s hospitalization costs to determine the amount payable for the patient’s hospital stay. Everyone in the medical coding profession should understand the DRG codes that are used to code the in-patient claims so as to maintain […]