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 […]
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All About ICD-10 Codes
Everything You Always Wanted to Know About ICD-10 Codes What are ICD-10 Codes? ICD-10 codes are the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification system used worldwide to classify and code diseases and health conditions. The ICD-10 codes are used by healthcare providers and insurance […]
healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, reimbursement, WHO, World Health OrganizationWhich CPT Codes are Used in Breast Cancer Treatment Billing?
Breast cancer is one of the most common cancers among women in the United States, with about 1 in 8 women developing invasive breast cancer over their lifetime. As breast cancer incidence has increased over the past several decades, advances in screening, diagnosis, and treatment have also greatly improved. Breast cancer death rates have fallen […]
billing, Biomarker Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer CPT Codes, Breast MRI Billing, Breast Ultrasound Billing, Cancer Billing, Cancer Screening Billing, Chemotherapy Billing, Coding, CPT codes, healthcare, Healthcare Billing, Mammography Billing, Medical, Medical Billing, Medical Billing and Coding, medical coding, rcm, Revenue Cycle, Revenue Cycle ManagementBilling for COVID-19 Testing: An In-Depth Use Case Explaining CPT Codes, Payer Policies, and Revenue Cycle Optimization
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 […]
0224U, 87426, 87635, billing, Covid, COVID billing, COVID Test Billing, COVID testing billing, COVID Tests, COVID-19, COVID-19 Test Billing, COVID-19 testing, CPT codes, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, SARS-CoV-2, SARS-CoV-2 BillingWhich CPT Codes are used in Telestroke and Teleneurology Billing?
Telestroke and teleneurology refer to the use of telehealth to provide acute stroke care and neurological care from a distance. This allows neurologists and stroke specialists to evaluate and manage patients in hospitals or clinics that may not have specialty care available onsite. The use of telehealth and virtual care models in neurology has grown enormously […]
coding and billing, CPT codes, E/M, E/M codes, E/M services, E/M Visits, HIPAA, HIPAA-compliant Telehealth, Tech-enabled Care Models, Telehealth Billing, Telemedicine, Telemedicine Billing, Telemetry, Teleneurology, Teleneurology Billing, Teleneurology CPT Codes, Telestroke, Telestroke Billing, Telestroke CPT CodesWhich CPT Codes are Used in Oncology Billing?
Oncology billing involves the use of many complex CPT codes to accurately report services provided to cancer patients. Choosing the right codes is critical for ensuring proper reimbursement and compliance with billing guidelines. This article provides an overview of the most common CPT codes used in oncology billing and coding. Evaluation and Management (E/M) Codes […]
biopsies/procedures, cancer, Cancer Billing, Chemo Billing, chemo drugs, chemotherapy administration, Chemotherapy Administration Codes, Diagnostic Injections, E/M services, HCPCS, lab/pathology, medical oncology services, nuclear medicine, Nuclear Medicine Billing, Oncology billing and coding, pain management, Prophylactic, Radiation Oncology Services, radiation therapy, Therapeutic, therapeutic injections, treatment complicationsWhich CPT Codes are Used in Pharmacogenetic (PGx) Testing Billing?
Navigating CPT Coding for Pharmacogenetic (PGx) Testing Reimbursement Pharmacogenetics refers to the study of how genetic variability impacts drug response. Also called pharmacogenomics, PGx testing analyzes a patient’s genetic makeup to predict drug efficacy, optimal dosing, and risk of adverse reactions. As our understanding of genetics has advanced, there has been growing recognition of its […]
0119U, 0142U, 81120, 81121, 81162, 81163, 81225, 81231, 81415, 81416, 81425, 81435, 81436, CPT codes, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, PGx, PGx Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenetics CPT, Pharmacogenetics CPT Codes, rs12777823, SLCO1B1, VKORC1Which CPT Codes are Used in Behavioral Health Billing?
In the world of behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health […]
Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Billing Codes, CPT, CPT Billing Codes, CPT codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle ManagementRemote Patient Monitoring
Remote patient monitoring (RPM) is a way of using digital technology to monitor patients outside of traditional clinical settings. RPM allows healthcare providers to track health metrics such as blood pressure, heart rate, weight, blood glucose levels and more from a distance. This provides a way to observe patients closely without requiring in-person visits. Remote […]
Biologics and Specialty Drugs
Biologics and specialty drugs are complex medications used to treat serious or rare medical conditions like cancer, rheumatoid arthritis, multiple sclerosis, and more. They are often made from living organisms or contain large molecules. These cutting-edge drugs are also very expensive, with costs ranging from $10,000 to $30,000 or more per year. Advancements in biotechnology […]
Pharmacogenetic (PGx) Testing
Pharmacogenetic (PGx) Testing Billing and Reimbursement Pharmacogenetic (PGx) testing analyzes how genes affect a person’s response to medications. This emerging field of precision medicine allows clinicians to optimize drug therapy selections and dosing based on a patient’s genetic makeup. As PGx testing becomes more widespread, medical practices face challenges with insurance coverage, coding, and reimbursement. […]
What is EOB in Medical Billing?
In the complex world of medical billing, an Explanation of Benefits (EOB) plays a crucial role in helping patients understand the costs and coverage associated with their healthcare services. An EOB is a document that provides a detailed breakdown of a medical claim, outlining the services rendered, the amount billed, the insurance coverage, and the […]
EOB, EOBs, Explanation of Benefits, healthcare, Healthcare Billing, Medical, Medical BillingTop FAQs in Medical Billing and Coding Answered
Many questions exist in the medical billing and coding industry because it is a complex and rapidly evolving field which requires a high level of accuracy and attention to detail. The healthcare industry is dynamic and is subject to frequent changes in laws, regulations, and insurance policies, which can impact the billing and coding process. […]
Certified Professional Coder, Certified Professional Coder (CPC), coding questions, commonly asked medical billing questions, commonly asked questions, CPC, CPT, FAQ, Herzing University medical billing, ICD, ICD-10, ICD-11, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, medical billing and coding questions, Medical Billing FAQs, medical billing questionsThe Role of AI in Medical Billing and Coding
(AI) Artificial Intelligence in Medical Billing and Coding Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI […]
AI, artificial intelligence, artificial intelligence healthcare, billing, Billing AI, EHR, EHR RPA, Health Level 7, Healthcare AI, HL7, insurance, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPASecure the Best Medical Billing and Coding Partner
Billing and Coding Partner for Healthcare Medwave is a premier provider of medical billing and coding services. But, exactly why are billing and coding so important and how can Medwave help your healthcare center perform these functions? It’s certainly no surprise that the healthcare business is thriving, and its growth is projected to endure well […]
billing, healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, medical codingGenetic Testing
Genetic testing is a medical test that analyzes a person’s DNA to identify changes or variations in their genes that may cause or increase the risk of developing a certain medical condition or disease. This type of testing can be used to diagnose genetic disorders or to determine an individual’s risk for inherited diseases such […]
What is Medical Billing?
Medical billing is the process in which medical providers are paid for performing procedures. The procedures are coded using the most current CPT and ICD-10 codes. The codes are then sent to the insurance companies on the proper HCFA 1500 forms for review and payment. It is the responsibility of the medical biller and coder […]
What’s the Difference Between (Medical Billing and Credentialing)?
Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]
Billing Versus Credentialing, Billing vs Credentialing, CAQH, Coalition for Affordable Quality Healthcare, CPT codes, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, Medical Billing, medical coding, medical credentialing, payor enrollment, physical therapy billing, Pittsburgh Medical Billing, Pittsburgh Medical Coding, Pittsburgh Medical Credentialing, Pittsburgh PT Billing, PT BillingWhat’s the Difference Between Medical Billing and Credentialing?
Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the set amount of reimbursement that […]
Speech Therapy
Speech therapy is a type of therapy that helps individuals who have difficulty with communication, language, or speech-related disorders. Speech therapists, also known as speech-language pathologists, work with individuals of all ages to improve their communication skills. The therapy sessions may involve exercises to improve pronunciation, vocabulary, and grammar, as well as techniques to help […]
Occupational Therapy
Occupational therapy (OT) is a type of therapy that helps individuals of all ages to develop or maintain the skills necessary for daily living and working. Occupational therapists work with individuals who have physical, developmental, emotional, or cognitive disabilities or limitations. They focus on improving the individual’s ability to perform everyday tasks, such as dressing, […]
Physical Therapy (PT)
Physical Therapy Billing & Credentialing Billing and coding for physical therapy (PT) practices are evolving every year. Even with the new 3-level evaluation codes put into place this year, CMS is still collecting data throughout 2017 to see if there need to be more changes made to how physical therapists are reimbursed. There are multiple rules […]
Chiropractic
Chiropractic Billing & Credentialing Chiropractic billing does not incorporate very many CPT codes, but if the claims are not billed correctly it can be a very costly mistake for your practice. Medwave has a dedicated team of chiropractic billing experts in the Pittsburgh region that can help you and your office succeed in getting claims paid […]
Understanding 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 RegulationsHL7 vs FHIR: The Key Differences
Health information exchange (HIE) is crucial for improving healthcare quality, safety, efficiency, and reducing costs. Two major standards for exchanging healthcare information electronically are Health Level 7 (HL7) and Fast Healthcare Interoperability Resources (FHIR). Both play important roles in healthcare interoperability, but have key differences. This article will provide an in-depth look at HL7 and […]
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