Month: July 2018

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 (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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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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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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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 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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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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