For those who somehow missed it, there are 88 current ICD-10-CM Z codes and subcategories that encompass psychosocial and socioeconomic circumstances: Z55-65. One of these codes is Z59: Problems related to housing and economic circumstances. These Z codes have been part of the healthcare landscape for several years now, so if you’re thinking “these aren’t...

When you run an independent physician practice, accurate patient billing is essential.  A failure to keep on top of this can lead to severe consequences, and not only with a lack of financial funds.  Errors with Medicaid and Medicare billing, for example, could lead to your practice being unable to bill for these entities for several years, especially...

The global medical billing outsourcing market is poised to expand for years to come as medical practices face challenges related to multiple payers and medical code representation, and large practices consolidate, according to a new report by Grand View Research. Five medical billing trends, based on the report:

Expectations are high for the impact that artificial intelligence can play in healthcare, but most experts admit that the industry is still early in the process of researching one-off uses for AI in healthcare settings. Still, many predict that many opportunities will soon emerge to take full advantage of advanced...

Let’s talk targeted probe-and-educate (TPE) audits. TPE audits have turned out to be “wolf audits” in sheep’s clothing. The Centers for Medicare & Medicaid Services (CMS) asserted that the intent of TPE audits is to reduce provider burden and appeals by combining medical review with provider education.