The below articles are all published in BC advantage
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Medical Necessity and Data Under the E/M Documentation Guidelines
Whenever I audit charts under the 2021 E/M Documentation Guidelines, which now apply in all places of service, I like to start by reviewing the first and third columns. The first column is Number and Complexity of the Presenting Problem, and the thir...
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Coding Critical Care Services in 2023
Critical care services refer to the delivery of medical care to the critically ill or injured patient by a qualified physician or other qualified healthcare professional (QHP). Current Procedural Terminology (CPT) defines a critical illness or injury...
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Seven Reasons to Standardize Medical Records
The electronic health record (EHR) is widely used for documenting and managing the patient's medical record. In the 1980s, the first web-based EHRs were being introduced and used in healthcare facilities because computer hardware had finally become a...
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2024 Navigator® Brachytherapy
This medical coding book includes all of the brachytherapy information from Revenue Cycle Coding Strategies Navigator® for Radiation Oncology as well as general radiation oncology coding and billing guidelines.
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2024 Navigator® Comprehensive Cardiology
This is Cardiology medical coding book covers a wide range of invasive cardiology services, including cardiac catheterization, pacemakers and ICDs, and electrophysiology services. ...
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2024 Navigator® Diagnostic Radiology Billing Compliance
This comprehensive and easy-to-use medical coding book is indispensable for compliance officers, administrators, billing managers, and anyone else involved in billing compliance for radiology services....
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2024 Navigator® Evaluation and Management for Providers
This reference manual will help you cut through the confusion that surrounds evaluation and management (E/M) services for providers and determine when it's appropriate to report an E/M code--and which code to report. ...
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2024 Navigator® Evaluation and Management Services for Oncology
This reference manual will help you cut through the confusion that surrounds oncology evaluation and management (E/M) services and determine when it's appropriate to report an E/M code--and which code to report. ...
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2024 Navigator® Diagnostic Radiology
The Navigator® for Diagnostic Radiology is the leading industry medical coding book for diagnostic radiology. Weighing in at nearly 400 pages, this coding manual covers the full range of services provided by most imaging centers and hospital radiolog...
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Claim.MD Achieves TX-RAMP Level 2 Certification
Claim.MD, a leading electronic data interchange (EDI) clearinghouse helping to streamline the billing and collection process for providers, payers and software vendors, today announced that it has achieved TX-RAMP Level 2 certification, demonst...
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PSQIA, PSWP, and HIPAA Compliance
This article addresses patient confidentiality and security related to patient safety evaluation systems, investigations, root cause analyses, and compliance to rules and regulations. It is a basic introduction to help understand the importance...
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ICD-10 Codes to Report Cataracts
Cataracts, a leading cause of vision loss in the United States, occur when the normally clear lens of the eye becomes clouded. This clouding obstructs or alters the passage of light into the eye, resulting in impaired vision. Ophthalmic surgeons perf...
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Understanding Skin Biopsy CPT Codes: A Comprehensive Guide
Skin biopsy plays a crucial role in the diagnosis and management of various dermatological conditions. To accurately report and bill for these procedures, healthcare providers rely on Current Procedural Terminology (CPT) codes. CPT codes are standard...
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Harness the Power of Patient Reviews to Elevate Your Practice
When was the last time you made a purchase without looking at product and service reviews? Amazon, Facebook, Google, Netflix, Uber, Travelocity - powerhouse, world-changing organizations all built upon the culture and value of reviews. Healthcare is ...
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The Transition to ICD-11: A Major Step Forward for Global Health
During the late 1800s, a physician from France named Jacques Bertillon was developing a method to create a consistent way of categorizing diseases. His goal was to simplify the process of monitoring and comparing mortality rates across various nation...
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Overcoding: Putting a Strategic Stop to a Silent Revenue Killer
Overcoding is in the crosshairs as the Centers for Medicare and Medicaid Services (CMS) continues its quest to ferret out fraud and abuse and recoup improper reimbursements-a focus that returns $8 for every $1 spent on audits. There are no signs that...
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Identifying the Admitting, Principal, Primary, and Secondary Diagnoses
Knowing how to differentiate the admitting, principal, primary, and secondary diagnoses for reporting and sequencing purposes can be intimidating and confusing. The following are some commonly asked questions related to reporting diagnoses in the fac...
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Everything You Need to Know About HIPAA Rules for Medical Billing
Medical billing companies must access protected health information (PHI) to perform their duties, making them HIPAA business associates. As this is the case, medical billing companies must be HIPAA compliant. So, what are HIPAA rules for medical bill...
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