While people often conflate the two, medical coding and medical billing are separate roles and functions in a healthcare office environment. When you receive healthcare from a medical provider such as ...

There is still a feeling of excitement when you get something in the mail, or rather when you get something in the mail that is not a credit card bill. Unfortunately, credit cards, and paying for them ...

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New study finds nearly 10% of internal medicine residents report a disability; the American Medical Association updates maternity care billing codes; and Texas joins autism trial network.

How a strong collaboration between clinical and billing teams can simplify J-code decoding, paving the way for improved patient access to innovative treatments. It’s an all-too-common story. A patient ...

The medical billing process can be frustrating. Converting your patient notes to numbered claims can introduce human error and insurers can be strict about how claims ...

A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...

Medical billing and coding is a time intensive process that requires specialized team members, representing a significant expense for medical practices. Medical billing services exist to outsource ...

The Advanced Primary Care Management program introduced three new HCPCS G-codes effective January 1, 2025, under the final 2025 Medicare Physician Fee Schedule. These codes represent CMS's most ...

In the complicated world of hospital billing, there’s a fine line between maximizing reimbursement and gaming the system. A new study shows a troubling trend as hospitals increasingly code for “sicker ...

Use of billing codes in big data sets to find diagnoses can result in up to two-thirds of cases being mistakenly identified, new UCLA-led research finds. Though the findings in this paper focused on ...