Diagnostic testing for COVID-19 has become a cornerstone of pandemic response for healthcare providers. However, rolling out testing services presents immense challenges around reimbursement and revenue cycle management. This definitive use case walks through COVID-19 testing billing and coding procedures in 2022 step-by-step, using examples to illustrate how to optimize claims submission and payment across […]
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JN.1 Variant: Navigating COVID-19 Testing Billing Requirements and Optimization
Cases of a new COVID-19 variant, temporarily designated JN.1, are rising rapidly nationwide. According to data from the U.S. Centers for Disease Control and Prevention, JN.1 now accounts for 44% of all COVID-19 infections in the country. That represents more than double its share compared to just a week prior, highlighting the dramatic growth rate […]
COVID billing, COVID Testing, COVID testing billing, COVID-19, COVID-19 testing, healthcare, Healthcare Billing, JN.1, Medical, Medical Billing, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationBilling for Treatment of New COVID-19 Variants (EG.5, FL.1.5.1 and BA.2.86)
The COVID-19 pandemic has persisted due to the continued emergence of new SARS-CoV-2 variants. As the novel coronavirus has spread globally, mutations in the viral genome have given rise to distinct new strains that present evolving challenges. Variants like Omicron and its sublineages have demonstrated a higher transmissibility and ability to evade immunity compared to […]
BA.2.86, BAC886, Corona billing, Corona variants, Corona Virus, Corona virus billing, Coronavirus, Covid, COVID billing, COVID-19, COVID-19 variants, EG.5, FL.1.5.1, GXX11, GXX12, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5Which CPT Codes are Used in COVID-19 Billing?
The COVID-19 pandemic has impacted the world significantly, causing widespread illness, death, and economic disruption. The virus, also known as SARS-CoV-2, primarily spreads through respiratory droplets when an infected person talks, coughs, or sneezes. COVID-19 symptoms range from mild to severe and may include fever, cough, fatigue, body aches, loss of taste or smell, and […]
billing, Coronavirus, COVID CPT, COVID CPT-10, COVID-19, COVID-19 billing, COVID-19 CPT, COVID-19 testing, COVID-19 Testing Billing, CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical Billing, Medical Billing ServiceCOVID-19 Test Kits and Reimbursement
COVID-19 has brought the world to a standstill, and the demand for effective testing has skyrocketed. In this blog post, we will discuss COVID-19 test kit reimbursement and the different types of kits available. It depends on the country and healthcare system, but generally COVID-19 test kits are reimbursed if they are performed in a […]
COVID-19, COVID-19 billing, COVID-19 test kit, COVID-19 test kit billing, COVID-19 test kit reimbursement, COVID-19 test kits, COVID-19 testingHow COVID-19 Affected the Provider-Payer Relationship
Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on […]
Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, outsourced billing, outsourced medical billing, provider-payorSurprise Bills for COVID-19 Testing
Have Your Patients Been Charged with Surprise Bills for COVID-19 Testing? No doubt, the Delta-variant is the driving force behind a new flood of nationwide testing that could translate into more surprise medical bills for those being tested. The CARES Act and Families First Coronavirus Relief Act are supposed to ensure free COVID-19 testing for […]
Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, outsourced billing, outsourced medical billingCOVID-19 Testing
COVID-19 testing is the process of detecting the presence of the SARS-CoV-2 virus, which causes COVID-19, in a person’s body. There are several types of COVID-19 tests available, including PCR tests, antigen tests, and antibody tests. PCR tests are considered the gold standard and involve collecting a sample from the back of the throat or […]
6 Advantages of Outsourced COVID-19 Testing Billing
Outsourced COVID-19 Testing Billing Advantages COVID-19 Testing Scenario Jude Hunt, 81 years old, said she waited in line for her second PCR test a few weeks ago after her vaccinated housekeeper tested positive for COVID-19. She said she previously contracted COVID herself and received the vaccine, but added, “After the last two years, I’m not […]
billing revenue, Corona Virus, Corona virus billing, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 billing, Lab Billing, Laboratory Billing, Medical BillingCOVID-19 Billing Got You Down?
COVID-19 Billing for Lab Testing The federal government announced a Public Health Emergency in response to the COVID-19 pandemic, effective January 27, 2020. While the healthcare industry has been continually adapting to new information and new regulatory challenges, one thing that has stayed constant is the need for rapid, frequent and reliable COVID-19 lab testing. […]
Corona billing, Corona virus billing, Coronavirus, Coronavirus billing, Coronavirus Disease (COVID-19) Billing, COVID billing, COVID test kits, COVID virus billing, COVID-19, COVID-19 billing codes, Lab Billing, Medical Billing, SARSWhich CPT Codes are Used in Remote Patient Monitoring Billing?
If you’re a healthcare provider looking to get into remote patient monitoring (RPM), one of the first things you need to understand is how to bill for these services. And that starts with knowing the right CPT codes to use. RPM has been around for a while, but it really took off during the COVID-19 […]
99091, 99453, 99454, 99457, 99473, 99474, billing, CPT codes, Healthcare Billing, Medical Billing, rcm, Remote Patient Monitoring, Remote Patient Monitoring Billing, Remote Patient Monitoring CPT Codes, Revenue Cycle Management, RPM, RPM Billing, RPM CPT CodesUnderstanding the Latest Healthcare Regulatory Changes Impacting RCM
The healthcare industry is dynamic, and staying up-to-date with the latest regulatory changes is crucial for efficient Revenue Cycle Management (RCM). RCM encompasses the processes involved in tracking and collecting patient service revenue, from the initial registration and appointment scheduling to the final payment of balances. Failure to comply with regulatory requirements can result in […]
Affordable Care Act, Coding and Documentation, Cybersecurity, Data Privacy, Environmental Sustainability, Health Equity, HIPAA, Interoperability, No Surprises Act, Non-Discrimination Regulations, Patient Access, Price Transparency, Regulatory Changes, Regulatory Compliance, Regulatory Requirements, telehealth, Value Based Care, Virtual Care RegulationsUnveiling Some of the Key CPT Codes in Medical Coding
In the intricate world of medical billing and coding, understanding Common Procedural Terminology (CPT) codes is paramount. These codes act as a universal language, facilitating seamless communication between healthcare providers and insurance entities. Let’s delve into the realm of CPT codes, exploring their significance and shedding light on the most commonly used ones. Decoding CPT […]
Allergy Testing Billing, Behavioral Health Billing, billing, Coding, COVID-19 billing, CPT codes, DME Billing, Family Practice Billing, genetic testing billing, Healthcare Billing, Medical Billing, medical coding, Medical Reimbursement, Occupational Therapy Billing, outsourced billing, PT Billing, Revenue Cycle Management, revenue cycle optimization, speech therapy billing, toxicology billingTelehealth Billing
Telehealth has become an increasingly popular way for patients to access healthcare services remotely. With telehealth, patients can consult with doctors, therapists, and other providers through video chat, phone calls, or mobile apps instead of going into a clinic or hospital. As telehealth usage grows, understanding how to bill and get reimbursed for these virtual […]
Staffing Shortages Force New Medical Billing Strategies
The healthcare industry is facing a critical staffing shortage that is impacting medical billing operations and revenue cycle management. With an aging population and expanded access to healthcare, the demand for healthcare services is rising. However, there is a shortage of healthcare workers, including medical billers and coders, to meet this growing demand. This is […]
billing, Billing Staff, COVID billing, COVID-19, healthcare, Healthcare Billing, Medical Billing Staff, medical coding, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process AutomationMedical Providers and the Untapped Potential of HL7
The healthcare industry has undergone massive changes in recent years, fueled by advances in technology and a shift towards patient-centered care. However, one area that still has untapped potential is the use of Health Level 7 (HL7) standards. HL7 provides a framework for exchanging clinical and administrative data between software applications used by various healthcare […]
billing, EHR, EHR Integration, EMR, EMR Interoperability, Health Level 7, Healthcare HL7, HL7, HL7 adoption, HL7 FHIR, HL7 interface, HL7 interoperability, HL7 messaging, HL7 Standard, HL7 v2.x, HL7 v3.0, HL7-enabled, Medical BillingTelehealth Billing Gets More Complex as Virtual Care Services Expand
The COVID-19 pandemic triggered an explosion in telehealth utilization across healthcare. While telehealth billing processes matured during the public health emergency, new complexities are emerging as virtual care delivery models expand. Practices must stay updated on billing and coding guidelines for telemedicine services spanning video visits, remote patient monitoring, mental health apps, and more. This […]
(POS) Codes, Chronic care management, Digital Therapeutics, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, rcm, Remote Patient Monitoring, Remote Patient Monitoring (RPM), Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RPM for Clinical Trials, telehealth, Telehealth Billing, telehealth delivery, telehealth experience, Telemedicine, Wearable IntegrationThe Latest Changes to ICD-10 Codes and How They Affect Billing
ICD-10 Codes ICD-10 codes are a set of alphanumeric medical diagnosis and procedure codes used for medical billing and clinical documentation. Maintained by the World Health Organization, ICD-10 contains about 69,000 codes compared to 13,000 in the older ICD-9 version. The codes provide specificity around body location, severity, comorbidities, and episode of care. Implementation of […]
CPT-10, healthcare, Healthcare Billing, ICD-10, ICD-10 Code Changes, ICD-10 coding, ICD-10 Update, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationA Comprehensive Overview of Medical Billing and Coding Salaries
Medical billers and coders play a critical role in the healthcare revenue cycle. Their work processing medical claims ensures providers receive accurate reimbursement for services rendered. But what can these professionals expect to earn as their billing and coding career progresses? This article explores key factors influencing medical billing and coding salaries, average pay ranges, […]
billing, healthcare, Healthcare Billing, Medical, Medical Biller, Medical Billing, Medical Billing and Coding Salaries, Medical Billing Salary, Medical Coder, Medical Coding SalaryAR Recovery: Unlocking the Path to Financial Health
In the complex landscape of medical billing, the term “AR Recovery” holds significant importance. This article will delve into the depths of AR Recovery, shedding light on its significance, process, and benefits. Whether you’re a healthcare provider, a patient, or simply curious about medical billing intricacies, this guide will provide you with valuable insights. AR […]
A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR Medical Billing, AR Recovery, healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management, revenue cycle optimizationWhich CPT Codes are Used in Hospitalist Billing?
In the realm of medical billing and coding, precision and accuracy are paramount. Hospitalist billing, a specialized area, relies on specific CPT (Current Procedural Terminology) codes to ensure proper reimbursement for services rendered. These codes serve as a universal language that communicates medical procedures and services to insurance companies. In this comprehensive guide, we’ll delve […]
99221, 99231, 99233, 99238, CPT codes, CPT Codes in Hospitalist Billing, healthcare, Healthcare Billing, Hospitalist, Hospitalist Billing, Hospitalist Medical Billing, ICD-10, Medical, Medical Billing, Medical Billing ServiceThe Future of Medical Billing
As medical technology continues to evolve, so does the way we manage and pay for healthcare. One area in particular that has seen significant changes in recent years is medical billing. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for medical services […]
The Reasons to Outsource your Medical Billing
In today’s healthcare landscape, medical billing has become an increasingly complex and time-consuming task. It requires in-depth knowledge of constantly evolving billing regulations, as well as the ability to manage large amounts of patient data accurately. Many healthcare practices find it challenging to manage their billing in-house, which is why outsourcing medical billing has become […]
Allergy Billing, Behavioral Health Billing, COVID testing billing, COVID-19 billing, DME Billing, genetic testing billing, Medical Billing, speech therapy billing, Substance Abuse Billing, toxicology billingEmerging Trends in Revenue Cycle Management
In the wake of months of social distancing and virtual visits during the COVID-19 pandemic, patients are once again veering towards a need to see their physicians in person. As patient volume recovers, it’s a great time to take a look at a healthcare practice’s Revenue Cycle Management (RCM) program and make sure it’s still […]
AI, artificial intelligence, artificial intelligence healthcare, Covid, COVID-19, Data Security, Machine Learning, Medical Billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization4 Ways to Improve Patient Telehealth Experience
Improving Patient Telehealth Experience Telehealth Assessment Gaining access to healthcare has become even more essential than ever. The COVID-19 pandemic didn’t prevent healthcare workers from discharging their oath and tackling medical issues quickly and properly. In fact, the use and popularity of telehealth expanded significantly in response to the COVID-19 pandemic. An assessment of telehealth […]
healthcare, Healthcare AI, HIPAA, HIPPA Compliant, medical providers, telehealth, telehealth delivery, telehealth experience, telehealth improvements, telehealth services, telehealth software, Telemedicine, telemedicine improvements