ICD 10 chronic fatigue syndrome? What Diagnosis Code for Fibromyalgia Is Used to Identify the Disease?

How to diagnose fibromyalgia What diagnosis code for fibromyalgia is used to identify the disease

The diagnosis of fibromyalgia through ICD-10 and ICD-9 codes has been made easy for practitioners dealing with fibromyalgia. When all you need is to bill for the fibromyalgia in your claims, you need to note each and every step included in the diagnosis of fibromyalgia to use the diagnosis code for fibromyalgia efficiently. However, knowing … Read more

Improving Billing and Coding Optometry Practice and Considerable CPT Codes for Claim Collection

Improving billing and coding optometry practice and considerable CPT codes for claim collection

No matter what practice you are associated with, billing and coding for the claims can be daunting and become challenging within no time. Similar goes with optometry, learning billing and coding optometry can take time and give you a toll if the differences aren’t learned about applicable copays for visits, valid fees for appointments, and … Read more

CPT 97162 Description for Physical Therapy Evaluation – A Road towards the better evaluation of Codes

CPT codes for physical therapy evaluation A Better Understanding of Billing and Coding Guidelines

For the past few years, the healthcare industry has been under continuous evaluation. Not just the regulations amended for insurance providers and healthcare providers but patients as well. People visit doctors for their tailored needs, however, visiting a physical therapist needs serious bodily pain, injury, or sprain. To reimburse the treatment, practitioners need to use … Read more

72 Hour Rule Implementation in Medical Billing

72 Hour Rule in Medicare Billing

To combat fraud related to the False Claims Act, “the Centers for Medicare” and “Medicaid Services (CMS)” implemented the three-day rule, also known as the “72-hour rule”. This rule requires that all outpatient diagnostic or some other medical services delivered within 72 hours of hospital admission be bundled and billed collectively rather than individually. This … Read more

What Is ERA in Medical Billing and How Beneficial It Is to Integrate ERA?

What is ERA in medical billing and how beneficial it is to integrate ERA

ERA stands for Electronic Remittance Advice and is used by means of electronic communication where the need for EOB Explanation of Benefits becomes negligible. But what is ERA in medical billing? Medical healthcare providers always wish to have claim acceptance in the first go. And it becomes essential for the providers to reduce/eliminate the recurring … Read more

Federal Health Insurance Guide: Which Part of Medicare Covers Inpatient Hospital Charges?

Federal Health Insurance Guide Which part of Medicare covers inpatient hospital charges

Hospital stays are expensive. Without medical insurance, it can cost you thousands of dollars. While for some, it may not be the biggest concern, those living hand-to-mouth will be heavily affected by this. For such people, the Federal government offers the Medicare program. It is a health insurance plan designed for people 65 or older … Read more

What Does Sequestration Mean in Medicare Medical Claims?

Frequently asked questions about what does sequestration mean

The Medicare budget Control Act 2011 says that there will be a significant reduction in the reimbursements of the cost of services claimed under Medicare. This federal reduction is specifically called sequestration in medical terms. Medicare claim reduction regulation applies to the claims from April 2013, which is 2% of the total amount claimed, which … Read more

What Is a Clearinghouse in Medical Billing? 6 Benefits of Using Clearinghouse

What is a clearinghouse in medical billing 6 benefits of using clearinghouse

A clearinghouse in medical billing reserves a special place in terms of clearing and forwarding reimbursement claims for practices and hospitals. As the process of reimbursing claims and providing financial security to healthcare providers are essential steps in medical billing, clearinghouses play a key role in the healthcare billing process which is undeniable. What is … Read more

COB in Medical Billing: Rules for Insurance of Patients in Coordination of Benefits Explained

COB in medical billing Rules for Insurance of Patients in Coordination of Benefits Explained

The coordination of benefits is defined by the Centers of Medicare and Medicaid Services as the process by which the patients are allowed to choose who is responsible for their financial medical liability or insurance. This means that through COB, CMS permits patients to have more than one payer or insurance provider. However, through COB, … Read more