For 2025, medical coding changes in ICD-10-CM and CPT codes are set to reflect more precise diagnostic details and updated guidelines across various medical conditions. Some of the key updates include: Mental Health: New ICD-10-CM codes will expand the classification of eating disorders, differentiating severity levels (mild, moderate, severe) and adding specific … [Read more...] about CODING ALERT: Watch for ICD-10-CM and CPT Changes for 2025
Coding
21 easy ways to boost practice profitability fast
Simple changes to billing procedures, hiring policies, purchasing, patient relations, and other daily activities can have a positive impact on your practice's bottom line. Here are 21 ways you can quickly boost practice profitability. 1. Name a reimbursement coordinator To get all the reimbursement possible, hire or appoint someone to be a reimbursement coordinator. It … [Read more...] about 21 easy ways to boost practice profitability fast
Best practices for managing medical billing and coding
Managing medical billing and coding can be quite the juggling act, but getting it right is crucial for the financial health of your practice and ensuring everything runs smoothly. Here are some best practices to help you streamline your billing and coding processes, complete with examples to show how it all works. First off, hire and train the right staff. … [Read more...] about Best practices for managing medical billing and coding
5 tested ways to make your billing and coding more profitable
The health of your medical practice depends on good quality coding and billing work. One of the most important roles in the medical office that impacts compliance—and your bottom line—is the coding and billing function. "Coding and billing is the lifeblood of the practice; it's the income," says Michael J. Sacopulos, JD, founder and president of Medical Risk … [Read more...] about 5 tested ways to make your billing and coding more profitable
8 tips for successful collections and increased revenue
A robust collections process is essential for the financial health and sustainability of your practice. By implementing the right strategies and adopting a proactive approach, you can significantly enhance your collections efforts. Here are 8 essential tips and best practices to help you optimize collections and maximize revenue for your medical office. Verify Insurance … [Read more...] about 8 tips for successful collections and increased revenue
18 ways your medical office can run afoul of laws and regulations
Running a medical office comes the responsibility for ensuring compliance with various laws and regulations. Failure to meet compliance requirements can lead to legal, financial, and reputational troubles. Here are some—but by no means all—the ways your medical office can run into compliance trouble: HIPAA Violations: Failure to protect patient health information and maintain … [Read more...] about 18 ways your medical office can run afoul of laws and regulations
7 strategies to maximize revenue cycle management
Optimizing revenue cycle management is essential for maximizing revenue and minimizing financial risks. By implementing strategic measures and adopting efficient practices, you can enhance the overall financial health of your medical office. Here are seven ways to optimize revenue cycle management and streamline your office's financial operations. Streamline Patient … [Read more...] about 7 strategies to maximize revenue cycle management
Be smart about scheduling to retain hourly employees
Staff scheduling can significantly impact the success of your practice. While scheduling may seem like a routine administrative task, its importance in retaining your valuable hourly employees cannot be overstated. A well-designed and thoughtful scheduling system can lead to increased job satisfaction, higher productivity, and improved staff retention rates. . Depending on the … [Read more...] about Be smart about scheduling to retain hourly employees
CPT update for COVID-19 boosters adapted to omicron
The American Medical Association has announced an update to Current Procedural Terminology (CPT)®, that includes eight new codes for the bivalent COVID-19 vaccine booster doses from Moderna and Pfizer-BioNTech. The updated boosters are adapted for the BA.4 and BA.5 Omicron subvariants and the original coronavirus strain in a single dose. Four of the eight CPT codes (91312, … [Read more...] about CPT update for COVID-19 boosters adapted to omicron
Medicare covering OTC COVID-19 tests
Starting this week and through the end of the COVID-19 public health emergency (PHE), Medicare covers and pays for over-the-counter (OTC) COVID-19 tests at no cost to people with Medicare Part B, including those with Medicare Advantage (MA) plans. In addition to helping prevent the spread of COVID-19, the goal is to find out if Medicare payment for OTC COVID-19 tests will … [Read more...] about Medicare covering OTC COVID-19 tests