Medical Billing Blogs

  The old saying "the best defense is a good offense" has been applied in a variety of fields. To achieve the maximum first pass acceptance ratio, you must be cautious when filing insurance claims. Even if you believe that everything was submitted correctly, there are a plethora of reasons for insurance claims to be denied. Lack of specificity in code usage, incorrect application of modifiers, and a variety of other factors may result in a lower percentage but outweigh the total charges submitted. According to the American Medical Association, insurers deny between 1.38 percent and 5.07 percent of claims. Even the best-performing practitioners have a 5% denial rate as per the Medical Group Management Association. Failure to work on insurer denials results in revenue loss for your medical practice. Though it's easy to point the finger at someone else, it's critical for a pathologist to develop and optimize proven techniques for getting claims paid. Let’s disc...

  Just as any other medical specialty, Pathology too, needs accurate documentation for generating any patient’s medical report. For a pathologist, when taking care of pathology billing and coding, it’s absolutely important to acquire prompt and accurate pathology reports in order to ensure successful reimbursements. Whether it’s a clinical lab, a physician office lab or even an independent lab, each of these will have different needs and ways to deal with issues related to patient documentation, payer types, or set of procedures. Also, billing for pathology involves a huge variety of different code types and it’s essential for pathologists to be fluent in it while staying updated with the periodic updates. What Is CPT®? Pathologists will need to accurately use CPT® which is the medical code set for physicians and health care professionals. Current Procedural Terminology, commonly known as CPT® acts as a uniform language for coding billing medical services and procedures for r...

  The fact that  ICD-10 Codes   are the only identification criteria set for a medical disease is inevitable. They provide a common language to share data across various countries and platforms.  Apart from this, ICD-10 codes are a must in any medical billing process including  pathology billing services . It is a necessary requirement to assign appropriate codes to pathology services like diagnostic tests and surgical procedures. This not only helps in filing a proper claim but also in maximizing reimbursements. Replacing the old school ICD-9 Codes, this new edition consists of more than 68000 diagnosis codes 72000+ procedural codes. Here are the top 5 ICD-10 Codes for pathology billing services – ICD-10-CM Code K29.50 – Unspecified chronic gastritis without bleeding This billable code is used to specify the medical ailments related to gastritis, including terms like acute, chronic, antral, and fundal. Gastritis is a condition of inflammatio...