Hierarchical condition category – HCC coding is a comprehensive model used for calculating the future cost of healthcare for patients. This model was designed and regulated in the year 2004 by the Centers for Medicare & Medicaid Services (CMS). However, the popularity and relevance of the model have significantly increased in the past few years …
Laser cataract surgery is an upgraded surgery process that is performed through Femtosecond laser technology which results in accurate precisions to the procedure of traditional cataract surgery which was previously performed using hand-handled tools. It is also known as Refractive Laser-Assisted Cataract Surgery (ReLACS) and is referred to as advanced cataract surgery. In laser cataract …
After a certain age, your medical physician may likely tell you to go through a colonoscopy. This may be the reason If you have ever been diagnosed with cancer symptoms, the test might be necessary to identify if there are any colon cancer symptoms. Not only this, the benefits of colonoscopy involve the determination of …
Have you ever been charged for treatment more than its cost? If so, it means you have been a target of inaccurate medical billing. Unsurprisingly, 80% of the medical bills in the United States contain errors. One of such errors is unbundling. When coders make mistakes while preparing a medical bill or deliberately make coding …
Life is unpredictable, you never know when you will come across a sudden illness or physical damage that will leave you in a puddle of debt. In fact, according to Forbes, in 2021, 50% of Americans carried a medical debt, and 57% owed a minimum of $1000. The percentage now has risen to 58% as …
A risk adjustment factor score (RAF score) is the score that is assigned to every patient in a risk adjustment payment model. RAF score can be calculated by taking multiple factors into account which can be a combination of disease risk score and demographic risk score that are normally called Hierarchical Condition Category HCC. This …
When it is all about the financial health of your revenue management cycle and practice, clinical documentation might not be a compelling topic to care about. But when it comes to optimal patient care, it is the heart of practices for generating revenues from registered payers. However, clinical documentation does not limit itself just to …
August 1st is the day when the world observes World Lung Cancer Day with an aim of taking part in the prevention of this fatal disease. People around the world with lung cancer celebrate the day with a profound belief that they will be cured one day. There might be many ways to celebrate the …
Medical history has been dealing with ICD- 9 until gradual changes in coding and catering to health issues using specific codes. Since ICD-10 has been introduced, medical billers and coders need to meet a range of new concepts and guidelines to deal with the difference between initial sequela vs subsequent encounter classification of codes for …
In the healthcare sector, there are many ways to apply compliance for the patient. Most of the healthcare providers and organizations think that compliance with the guidelines and the policies provided by the government, and in the case of private providers, compliance with the payers is necessary. Another significant area in terms of concern is …