Month: July 2018

HCC Companies…a ‘partial’ list

  AltegraHealth www.altegrahealth.com Apixio http://www.apixio.com Arrohealth www.arrohealth.com AviaCode www.aviacode.com Centauri Health Solutions www.centaurihs.com Change Healthcare www.changehealthcare.com Datafied http://www.datafied.com/ ECS www.ecshealthcare.com e4e www.e4e.com EpiSource www.episource.com GeBBS www.gebbs.com Invalon www.inovalon.com Insight Global www.insightglobal.com Intellisource www.intelli-source.net Intero360 www.intero360.com Judge Group www.judge.com OS2Healthcare www.os2healthcaresolutions.com Oxford HIM www.oxfordcorp.com Pulse8 www.pulse8.com Tesellate www.tessellate.com The CSI Companies www.thecsicompanies.com Verscend www.verscend.com    …
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MEDICAL SCRIBES … what are they?

There is the MEDICAL SCRIBE that accompanies the Physician/Practitioner on their rounds.  A ‘medical scribe’ is usually in the room with the physician/provider and documents what the physician/provider does in the visit/procedure. Frequently, they also enter the necessary information/documentation into the EHR. They need to know Anatomy, Medical Terminology, have some Transcription abilities, Coding abilities are…
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Mental Health Billing – A Guide

What are the special needs of a mental health biller and coder? A healthy mind is part of a healthy body. As such, most insurance companies cover mental health services, as long as they are considered medically necessary. For example, Medicare Part B will cover mental health services as long as they are medically necessary for the…
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ASC Billing/Coding Basics

ASC billing (Ambulatory Surgery Center) is completely different than any other type of billing. Learn about the special rules and guidelines here… Before we begin to examine the special needs of an Ambulatory Surgery Center biller, it’s important to understand what an Ambulatory Surgery Center is. An Ambulatory Surgery Center is a facility that, very simply,…
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Basic Anatomy and Physiology Principles

Learn the basic anatomy of the human body and the principles of physiology to help boost your billing/coding career… Knowing basic human anatomy is a fundamental part of being a successful medical coder. In addition to basic medical terminology, human anatomy helps you assign a more precise diagnosis code. It’s also very important for assigning procedure…
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Using HCPCS Level II Codes in Medical Billing & Coding

Common questions about HCPCS Level II codes. How to use them and how they’re different from CPT codes… There are three main sets of codes used in the medical industry: **ICD-10-CM Codes **CPT Codes **HCPCS Level II Codes Each one of these code sets describes different parts of a patient’s visit. ICD-10-CM  includes all diagnoses…
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Pathology and Laboratory Billing Basics

Find out how pathology and laboratory billing differs from billing in a doctor’s office, and if you need a special certification to become a laboratory biller… Unlike physician, facility, or DME billing, laboratory and pathology billing is centered on a very specific set of CPT codes. All the CPT codes used by a lab include services used to evaluate…
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Durable Medical Equipment Billing

Durable Medical Equipment Billing Special Needs of DME Billers and Coders Durable medical equipment billing is very different from other types of billing and coding. Find out how and why DME medical billing is unique… Unlike regular medical or even dental coding, DME billing requires an in-depth, specialized knowledge of all HCPCS Level II codes. Types of…
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Pain Management and Anesthesia Billing

What are the special needs of pain management and anesthesia billing and coding? Find out here… Similar to other specialty-specific billing, pain management and anesthesia coding has its own special set of rules and guidelines. Each one of these guidelines is specially formulated to make sure the insurance company knows how the pain management service was performed, who…
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Coding Vaccines – How It’s Different

How and why are all vaccines coded differently, and how do you keep up? If you end up getting a coding position in any kind of family practice, general healthcare, or pediatric setting, chances are you’ll have to code for the vaccines your office administers to patients. Although vaccine coding sounds pretty simple (after all,…
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