Coding updates, Chronic obstructive pulmonary disease (COPD), also known as chronic obstructive lung disease (COLD) and chronic obstructive airway disease (COAD), among others, is a type of obstructive lung disease characterized by chronically poor airflow. It typically worsens over time. The main symptoms include shortness of breath, cough, and sputum production. Most people with chronic […]
Category: Medical Billing News
Avoiding Medical Billing Denial Best Practice
Avoiding Medical Billing Denial Best Practice Medical billing denial is the refusal of an insurance company (payer) or carrier to honor a request by his or her provider to cover the cost of healthcare services. It is actually no secret that the relationship between health care providers and insurance company is complex. A lot of Medicare providers [...]
MACRA 101
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) perpetually removes sustainable growth rate (SGR). MACRA also eliminates SGR’s annual threat of physician payment cuts. The American Medical Association provides physicians with vital tools to be successful through this long-term transition period. Two options of physician payment currently exist. They are the Alternative Payment […]
CPT 99490 Means More Revenue for Physicians
In 2015, Medicare began paying for Chronic Care Management (CCM) under code 99490: chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. The services require: The patient to have two or more chronic conditions that are expected to [...]