Medical Industry Articles
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by Find-A-Code™
We are firm believers in complete training and certification for medical coders and billers. There is a lot to know in order to be a competent biller or coder. You need to know more than just how to look up medical billing codes online. For example, you need to know and understand the Levels of Medical Decision Making (MDM) table.
Jan 24th, 2024
Medical Coding and Billing: What Is the Superbill?
by Find-A-Code™
Translating a doctor's notes into an actual payment from an insurance company requires a long and detailed process involving many complex steps. Both medical coders and billers do their parts to ensure doctors get paid for the services they provide. Along the way, they create and utilize something known as the 'superbill'.
by Find-A-Code™
Although there is no federal requirement that medical coders be certified, basic certification is often a job requirement in the modern era. Employers like to see certification as proof that potential coders have undergone a comprehensive training program and demonstrated their knowledge through a certification exam. But what about additional certifications?
Jan 15th, 2024
How to Make Sure Your Coding Team Is at the Top of Its Game
by Find-A-Code™
Efficient medical billing requires competent and accurate medical coding. Everything medical coders do impacts their counterparts in the billing department. Therefore, it is to everyone's advantage to make sure that the coding team remains at the top of its game day in and day out.
Jan 11th, 2024
How Medical Reception and Coding Affect Medical Billing
by Find-A-Code™
Medical billing represents the final step of submitting medical claims to payers. A medical biller takes all the data generated from a single medical encounter and translates it into a claim that is then sent off to a private insurance company, Medicare or Medicaid, or a self-paying patient.
Jan 8th, 2024
How ICD-10 Combination Codes Streamline Medical Coding
by Find-A-Code™
If there is one thing that keeps the pressure on medical coders, it is the need for efficiency. Fortunately, there are a few tricks of the trade that coders can employ to be more efficient. One of them is using ICD-10 combination codes when applicable. These codes are often described as tools for doing more with less.
by Find-A-Code™
Medical coding contractors offer a valuable service to healthcare providers who would rather outsource coding and billing rather than handling things in-house. Some contractors are better than others, but there is one thing they all have in common: the need to present some sort of value proposition in order to land new clients. As a contractor, your value proposition is the advantage you offer. And that advantage is specialization.
by Find-A-Code™
Sending employees home to work was the norm during the COVID pandemic. But now that the pandemic is largely behind us, companies are calling their people back to the office. This includes medical coders and billers who have been enjoying the benefits of remote work all along. But has the time come for a new employment model? Is it time to let medical coders and billers work from home permanently?
by Find-A-Code™
Medical coding and billing are all about getting paid when you boil the two practices down to their simplest forms. And yet, there are other things to think about. Compliance is one of them. That is why hospitals, clinics, and private practices conduct medical coding audits. A big question for smaller offices is how frequently audits should be conducted.
by Find-A-Code™
Medical billing and coding blogs talk an awful lot about code sets. They tend to discuss individual codes and how to apply them in real world scenarios. Codes and code sets are obviously important – they are what medical coding and billing are built on. But there is something else equally important to consider: coding guidelines. To be the best possible coder you can be, you need to have a handle on those guidelines.
by Find-A-Code™
There is no lack of blog posts and news articles detailing how America's healthcare sector is grappling with shortages of doctors, nurses, etc. But did you know that the shortages are not limited to clinicians? They exist industry wide. And it includes medical coders.
Dec 4th, 2023
5 Medical Coding and Billing Trends to Watch in 2024
by Find-A-Code™
One thing we can say about medical coding and billing is that it never stops changing. Change is part of the game. Keeping up with changes is often a matter of watching trends so that one isn't caught off guard when new changes are implemented. With that in mind, we believe there are some medical coding and billing trends to watch closely in 2024.
by Find-A-Code™
Healthcare administrators and financial officers are very familiar with the management revenue cycle (RMC). They may not be as familiar with medical coding, at least from the standpoints of terminology and best practices. Yet there is an undeniable link between medical coding and managing revenue. What is that link? It is data.
Nov 15th, 2023
Productivity is the Key to Holding On to Remote Work
by Find-A-Code™
The COVID pandemic sent a lot of people home to work remotely. In recent years, however, employers have been working to get their people back into the office. Even medical coders and billers are being asked to return. If you find yourself in such a position, you might not be able to do anything about it. But if there is any possibility of continuing to work remotely, productivity is the key.
by Find-A-Code™
You have undoubtedly heard the phrase, 'practice makes perfect'. What if we applied the principle to preparing to take a medical coding exam? Would practice increase your chances of passing? While there are no guarantees, your chances of success will likely be higher if you take some practice exams prior to sitting for the real thing.
Nov 9th, 2023
How Medical Billers Can Stay at the Top of Their Game
by Find-A-Code™
Anyone who follows pro sports is familiar with the concept of an athlete wanting to stay at the top of his game. Athletes of all types want to be the best at what they do. But what about other careers? What about medical billing? It is probably a safe bet that most medical billers want to stay at the top of their game as well. That is the way a medical biller earns promotions, pay raises, and other perks.
Nov 6th, 2023
Helpful Tips for Better Medical Coding in 2024
by Find-A-Code™
The end of the year is fast approaching. It will not be long before we are turning the calendar to 2024. As a medical coder, do you have any professional goals for the coming year? Hopefully, being a better coder is one of them. Medical coding constantly offers opportunities for improvement. We suspect you will be given plenty of them in 2024.
by Find-A-Code™
Medical billing codes are challenging enough even when things are straightforward. But throw in a modifier and you have the potential for all sorts of trouble. Take Modifier 59. It is among the most dreaded modifiers that medical coders and billers need to handle. Get it wrong and you could wind up with a denied claim or, worse yet, accusations of unbundling.
Oct 18th, 2023
UB-04 Revenue Codes - Obscure But Still Part of the Game
by Find-A-Code™
Medical coders and billers need to be intimately familiar with common code sets like CPT, ICD-10, and HCPCS. But there are other more obscure code sets as well. They may not be utilized as frequently, but they are still out there. They are still part of the medical coding and billing game. UB-04 revenue codes are a prime example.
Oct 16th, 2023
The 3 Most Frequently Asked Questions About CPT Codes
by Find-A-Code™
Medical coding and billing are challenging careers requiring a ton of knowledge and plenty of experience. Coders and billers need to be familiar with HIPAA regulations, medical terminology, NPI lookup and more. When it comes to the medical codes themselves, particularly CPT codes, there is more to know than any one person can possibly remember.
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