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HOW PHYSICIAN CREDENTIALING CAN BE A SMOOTH PROCESS

A couple of decades ago healthcare physicians considered credentialing as the procedure for enrolment with an insurance company’s preferred provider network.  Now a days, it is mandatory than ever for physicians and healthcare providers including nurses, chiropractors, psychologists, counselors, LCSW’s and many others to be in network with insurance companies. This is a necessity because most people in the United States have health insurance than ever before.  And it is necessary because people today demand their healthcare physicians accept their insurance.  Honestly saying, if a physician is not in network with a patient’s health insurance plan, the provider is at risk of losing that potential patient to a competing practice. (more…)

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Watch for Bundles

Codes used for Percutaneous vertebroplasty include the two procedures frequently performed during the same session—imaging guidance and bone biopsy therefore you might not code individually for them at the same level.  If the medical provider performs bone biopsy at a level not addressed by the vertebroplasty, you may report biopsy alone with the 59 modifier appended to indicate the separate locations of the two procedures. (more…)

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Bristol Healthcare Service transitioned to ICD-10 well before 10/01/2016

October 1, 2016 marked the end of one year that was allowed by the Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) to help ease the transition from ICD-9 to ICD-10 for physician practices.

At Bristol Healthcare Services, our team of certified coders efficiently managed to transit from ICD-9 to ICD-10 well before the stipulated date.  Initially we struggled with cardiology coding in E and G codes but very soon managed to submit correct claims. (more…)

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