Blogs and Tutorials - CureMed Solutions

ICD-10 Updates 29 Aug

DRG Coding and Its Importance for In-Patient Billing

The in-patient payment system is a complex calculation which begins with each case being categorized into a diagnosis-related group (DRG). DRG hospital billing system is one which classifies hospital cases into certain groups, referred to as DRGs, which are expected to have similar hospital resource use and hence similar cost. Each DRG has a payment weight assigned to it which may be affected by factors such as cost of living.

Clinical Documentation Improvement 22 Jun

Clinical Documentation Improvement and It's Impact on Reimbursement

A CDI program is a process designed and implemented with the purpose of achieving accurate and thorough medical record documentation. Precise clinical documentation is integral to every patient encounter, as it assists providers to make informed decisions for patient care, helps assess the clinical quality, and determines appropriate reimbursement.

HCC Coding 19 May

A Quick Guide to HCC Coding: All Information in One Read

The Hierarchical Condition Category (HCC) risk adjustment model is an integral element within the medical coding world. Inaccurate HCC coding not only affects the patients and payers but also has an impact on healthcare organizations’ reimbursement. With the rising number of beneficiaries enrolled in Health insurance Advantage plans, it’s more important than ever for healthcare organizations to pay attention to this model and make sure physicians are coding diagnoses appropriately to ensure fair compensation. This article walks through the basics of the risk adjustment model and how the provider can ensure accuracy in documentation and HCC coding to achieve swift and maximal reimbursements.

Social Health 30 Mar

Social Determinants of Health - CureMed Solutions

SDOH are the conditions in the environment where people are born, live, learn, work, play, and age. SDOH-related Z codes ranging from Z55-Z65 are the ICD-10-CM encounter reason codes used to document SDOH data (e.g., housing, food insecurity, transportation, etc.).

ICD-10 Updates 08 Mar

Covid-19 : ICD-10 and Billing Updates

Since the beginning of the pandemic, there has been progressive activation and up-dation of COVID-19 codes by CDC. In this blog, we present an overhaul of these along-with specific changes in coding and billing guidelines related to COVID-19, for the year CY2022.

ICD-10 Updates 28 Feb

ICD-10 Updates CY 2022

Every year on October 1, the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) released updated ICD-10 Official Guidelines as well as changes to the code set.

CPT Updates 21 Feb

CPT Updates CY 2022 (Part 3) Fee Schedule Updates

This article is a continuation of our previous article on the fee schedule updates announced by CMS for CY 2022 which may be relevant for your billing cycle and highlights important revisions in specific services.

CPT Updates 16 Feb

CPT Updates CY 2022 (Part 2) Split / Shared EM Visits and Critical Care Services

This article is a continuation of our previous article on the updates announced by CMS for CY 2022 and highlights important revisions on split/shared E/M visits and critical care services.

CPT Updates 08 Feb

CPT Updates CY 2022 (Part 1) Telehealth/Mental Health Service

Recently, the Centers for Medicare & Medicaid Services (CMS) released its updates for the calendar year (CY) 2022. Medicare Physician Fee Schedule (MPFS) Final Rule, for CY 2022 was released by CMS, going into effect from Jan. 1, 2022. The Final Rule included changes in the physician fee schedule and billing of physician assistant services, updates of policy changes for several services included under Medicare, a number of COVID-19 related changes that will be extended or be made permanent with telehealth being an area of key focus.