Articles

Vitalware's experts and industry thought-leadership are often referenced in articles about the business of U.S. healthcare. Here is an informative selection of those industry news articles and blogs from leading publications and experts.

28 COVID-19 Billing & Coding FAQs (and Answers)

As to be expected, we’ve received a lot of coding questions regarding COVID-19 over the past few weeks. Attendees ask great questions following our webinars and our users continue to ask great questions through our chargemaster and knowledge solutions. We’ve gathered 28 of the most frequently asked billing and coding questions around COVID-19, and provide well-researched answers below.

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Advocacy in Action: Commenting on Proposed Rules

So, you’ve just read about a proposed rule or policy change that is going to impact you or your organization. You’ve decided to step out of your comfort zone and let the agency issuing the proposed rule know your thoughts. Now, how do you begin? NAHRI’s Professional Advocacy Committee provides the following suggestions to get you started.

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5 Keys to Success for Revenue Cycle Teams Working Remotely

Our mid-revenue cycle management solutions were designed to work seamlessly with decentralized teams and remote users, and we have several clients who have operated this way for years. Vitalware itself also has a large percentage of remote workers. With that idea in mind, we gathered together a few key insights drawn from our collective experience to share with you.

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Latest Updates for Coding Conditions Related to COVID-19 (Coronavirus)

In addition to the two new HCPCS codes that are effective February 4, 2020 (U0001 and U0002), the CPT® Editorial Panel of the American Medical Association (AMA)¹ released a new CPT® code to capture testing for COVID-19. The new code, 87635, Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, is effective as of March 13, 2020, and will be published in the CPT® 2021 book.

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Understanding The Coding Nuances For COVID-19 (Coronavirus)

In order to track new cases of COVID-19 and to provide reimbursement for testing, the Centers for Medicare & Medicaid Services (CMS) has created two new HCPCS codes that are effective February 4, 2020, with an implementation date of April 1, 2020. This is what you need to know about these dates.

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Managing Facility ED Charge Capture: Fundamentals for Success with Evaluation and Management (E/M) Codes

In the era of continuing fluctuation with reimbursement, charge capture remains the mainstay of provider and facility revenues. Large failures or defects within the process can quickly cause a significant loss of revenue. Alternatively, small and difficult to identify defects lead to slow revenue leakage. In either case, the outcome is suboptimal. We will cover the basic components in this post.

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