Getting Into an Accident? Here’s What Collision Insurance Will Pay For

Jitendra M.Sc CPC
what will collision insurance cover in the event of an accident?

Intro – What will collision insurance cover in the event of an accident? Accidents can happen at any time and can be a stressful and costly experience. For many drivers, collision insurance provides a sense of security and peace of mind in the event of an accident. However, it is important to understand what collision insurance covers and what it does not. Collision insurance is an optional coverage that protects drivers in the event of a collision with another vehicle or object. It covers the cost of repairs or replacement…

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Does Robert Half offer health insurance; know the TRUTH

Jitendra M.Sc CPC

As an employee or potential candidate for a company, one of the most important benefits to consider is health insurance. Having access to quality healthcare can mean the difference between financial stability and bankruptcy in the event of a medical emergency. For those considering employment with Robert Half, a leading staffing agency in the United States and Canada, the question of whether or not they offer health insurance is an important one. With so many different staffing agencies and employment opportunities available, it’s critical to understand the benefits and options…

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CPT code 97124 Coding tips for Medical coders

Jitendra M.Sc CPC

Basics of CPT code 97124 Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood circulation, relax muscles, and stimulate soft tissues. A massage expert or a therapist performs various types of stroking and other massages on a patient’s body for therapeutic purposes. The specific techniques involved would be effleurage, petrissage, or tapotement. This code is reported in units of 15 minutes.Below is the description of CPT code 97124.…

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Why Carepass Management is Key to Coordinated, Efficient Healthcare?

Jitendra M.Sc CPC

In today’s fast-paced world, healthcare providers are facing numerous challenges. One of the most significant obstacles is managing patient carepass effectively. Carepass management is the process of coordinating and tracking patient care across multiple providers and care settings, ensuring that patients receive comprehensive and timely care. Carepass management involves identifying and addressing gaps in care, coordinating care between providers, and ensuring that patients receive appropriate follow-up care. Effective carepass management is critical for improving patient outcomes, reducing costs, and increasing patient satisfaction. However, many healthcare providers struggle with managing carepass…

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When to use Sacroiliac (SI) joint injections CPT code 27096, G0259, G0260

Jitendra M.Sc CPC
When to use Sacroiliac (SI) joint injections CPT code 27096, G0259, G0260

The sacroiliac joint or SI joint (SIJ) is the joint between the sacrum and the ilium bones of the pelvis, which are connected by strong ligaments. The SI joints bear the weight of the trunk and as a result are subject to the development of strain and/or pain. We have already learnt about coding epidural injection codes 62320,62321, 62322, 62323, 62324, 62325, 62326 and 62327. Different specific codes are used for sacroiliac joint or SI joint (SIJ) for different payers. CPT code 27096, HCPCS code G0259 and G0260 are the procedure codes used for SI…

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Claim Adjustment Group & Reason Codes

Jitendra M.Sc CPC

Claim Adjustment Group Codes In the healthcare industry, Claim Adjustment Group (CAG) codes serve as a standardized system of categorizing and identifying the various reasons why insurance claims have been denied or adjusted. These codes are used by insurance companies and providers to communicate the reasoning behind the adjustments made to a claim. There are several different types of CAG codes, each with its own unique purpose. The most commonly used CAG codes are CO, PR, and OA.  CO – Contractual Obligation Start: 05/20/2018 OA – Other Adjustment Start: 05/20/2018…

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CPT code for Tonsillectomy/Adenoidectomy : Coding Tips

Jitendra M.Sc CPC

Basics of CPT code for Tonsillectomy/Adenoidectomy A tonsillectomy is a surgical procedure to remove the tonsils. Tonsils are two small glands located in the back of your throat. Tonsils house white blood cells to help you fight infection, but sometimes the tonsils themselves become infected. Specific codes are assigned for coding tonsillectomy. CPT code 42825 and 42826 are used to report tonsillectomy in medical coding. Also, sometimes the adenoids become swollen or enlarged because of infection, hence adenoidectomy is performed. An adenoidectomy is a surgery to remove the adenoids. CPT code 42830, 42831, 42835…

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Remittance Advice Remark Codes (RARC) List

Jitendra M.Sc CPC

Basics of Remittance Advice Remark Codes (RARC) Remittance Advice Remark Codes (RARC) provide additional information about an adjustment already described by a CARC and communicate information about remittance processing. Remittance advice remark codes are important codes that are used by healthcare providers and insurance companies to communicate important information about medical claims. These codes provide important information about why a claim was rejected, what additional information is needed to process a claim, and what actions healthcare providers or insurance companies need to take to resolve an issue. There are a…

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Claim Dispositions definitions in Medical coding

Jitendra M.Sc CPC

Each edit is associated with a disposition. For example, there can be a rejection of the line item itself or a rejection of the entire claim. In addition to edit dispositions, the program assigns an overall disposition to the claim. The below lists the edits currently applied to non-OPPS hospital outpatient claims with their dispositions. A disposition is assigned based on the presence of any edits on a line. The meaning of each edit  disposition is described in the following table. It is possible for a claim to have one…

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