Hierarchical Condition Category (HCC) coding plays a crucial role in risk-adjusting patient populations and ensuring accurate reimbursement in value-based care models. For medical coders, understanding what is HCC in medical coding is essential—especially in Medicare...
When it comes to medical coding, understanding the different code sets is essential for accurate billing and reimbursement. One such code set that plays a critical role in healthcare services is HCPCS. But what is HCPCS in medical coding? Understanding HCPCS HCPCS...
Unlock Your Medical Coding Career: CPT Coding Course with Coding Clarified In today’s rapidly evolving healthcare landscape, accurate and up-to-date medical coding is critical for proper billing, reimbursement, and compliance. One of the most essential code sets used...
Mastering Prior Authorizations: Guidelines and Tips for Medical Coders and Billers Prior authorizations (PAs) are an essential but often complex part of the medical billing and coding process. Designed to manage costs and ensure medical necessity, PAs require precise...
ICD-10-CM Coding for Haemophilus influenzae Here’s a clear and thorough guide for billing and ICD-10-CM coding for Haemophilus influenzae (H. influenzae) — not to be confused with the flu (influenza virus). This bacterium can cause serious invasive diseases like...
Medical Coding Guidelines for Insulin Resistance: What Coders Need to Know Insulin resistance is a common metabolic condition that often precedes or accompanies more serious health issues such as type 2 diabetes, polycystic ovary syndrome (PCOS), and metabolic...
Mastering Medical Coding and Billing for Alzheimer’s Disease: Guidelines and Tips Alzheimer’s disease, a progressive neurodegenerative disorder, is one of the leading causes of disability and dependence among older adults. Accurate coding and billing for Alzheimer’s...
Navigating the Path to Certification: Criteria for Becoming a Certified Professional Coder (AAPC CPC) Medical coding is a cornerstone of the healthcare revenue cycle, ensuring accurate documentation and reimbursement. At the heart of this process are Certified...
Medical Decision Making (MDM) is a core component of Evaluation and Management (E/M) services It plays a significant role in determining the appropriate level of service to report for a patient encounter. As of the 2021 updates (and continuing into 2024-2025), the...
Online Medical Coding Classes with Financial Aid: A Path to a Promising Career The healthcare industry is expanding rapidly, and with it comes a growing demand for qualified medical coders. As one of the fastest-growing administrative careers in healthcare, medical...