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GASTROENTEROLOGY MEDICAL CODING

Gastroenterology is a medical specialty that deals with its ailments and the digestion. Gastroenterologists utilize numerous diagnostic procedures prescribe treatment and to identify the individual’s health condition. Coding for gastroenterology entails accurate coding of services and the processes. Reimbursement is offered for processes supplied in ASC facility configurations and facility, hospital outpatient. Payment policies differ with … Continue reading GASTROENTEROLOGY MEDICAL CODING

STRATEGIES FOR CORRECT E/M CODING

Despite of having proper guidelines, coding for Evaluation and Management (E/M) services is still a challenge for healthcare service providers. CMS reported that more than 15% of E/M services were improperly paid due to over or under coding of these services. Due to higher rates of errors, Reimbursement for providers has declined over the years. … Continue reading STRATEGIES FOR CORRECT E/M CODING

BUNDLED PAYMENTS AND CASE MANAGEMENT IN HOSPITALS

Earlier, healthcare providers were reimbursed by insurance companies and governmental agencies for different procedures used in the service provided. This was under fee-for-service healthcare system. Many agree that fee for service has not only increased healthcare costs but has also affect quality care. In Fee-for-value healthcare system third-party payers reimburse healthcare providers to deliver the … Continue reading BUNDLED PAYMENTS AND CASE MANAGEMENT IN HOSPITALS