Tuesday 16 July 2019

Important Cardiology Medical Billing and Coding Changes to look out for in 2019.


Cardiology medical practices offer a variety of services like invasive procedures and interventions to patients in different settings. Service charges in this specialty are dealt with differently, depending upon the place of service. Now, the Place of Service can be different for different situations like Surgery Center, Hospital, Doctor’s clinic, hospice care, skilled nursing facility or some other place.
Keeping up with the changes and discovering the best practice has become more important than ever. Billing cardiology claims accurately, requires a working knowledge of cardiology specific CPT and diagnosis codes, current coding rules, and ever-changing compliance standards. A minor mistake in cardiology medical billing and coding can invite denials and adversely affect your practice revenue.

Cardiology Medical Billing and Coding Changes

Though more than 450 changes were introduced in the 2019 ICD-10 updates, there were only a few changes or revisions that affected Cardiology. However, it is still imperative that you familiarize yourself with them. Here we have compiled some of them for you to get a hang of it.

Important Cardiology Medical Billing and Coding Changes to look out for in 2019

Changes in Cerebral Infarction

New codes were introduced to cerebral infarction category I63. Following are some of them.
·         I63.81 – Cerebral infarction due to occlusion or stenosis of the small artery (lacunar infarction also included)
·         I63.89 –Cerebral infarction
These codes might be required to report with an additional code, R29.7, indicating the NIHS (National Institute of Health Stroke) scale for the patient, when applicable.

Introduction of New Subcategory in I67

Cerebrovascular Disease, category I67 was introduced with a new sub-category for hereditary cerebrovascular diseases. The new codes in this subcategory were:

I67.850, for cerebral autosomal dominant arteriopathy, subcortical infarcts, Leukoencephalopathy with CADASIL.

I67.858, for other hereditary cerebrovascular diseases.

With the introduction of these new subcategories, a new “code also” note is also present that instructs reporting of associated diagnoses like vascular dementia, recurrent seizures, and cerebral infarction with I67.

Other revisions

T46.4X, for Angiotensin-converting enzyme inhibitors.
122.8, for subsequent posterior transmural myocardial infarction.
197.64, for post-procedural seroma of the circulatory system.
T81.11, for post-procedural cardiogenic shock.

cardiology medical billing services

Combination Codes

Cardiology Medical Billing and coding also saw the introduction of combination codes for different cardiology conditions. Therefore, it is important to ensure that they are also used whenever required. Also, using terms like “Use additional code”, “Code Also”, “Code First”, etc. helps generate a complete picture.

Outsourcing Cardiology Medical Billing

With the inception of these codes changes, it has become important for cardiologists to take special care while dealing with cardiology medical billing. Cardiology medical billing comes with complex contractual adjustments and procedure rules that undergo changes frequently.

Choosing to outsource cardiology medical billing will allow you to focus on the core practice aspects and deliver excellent healthcare services. We at Bikham Healthcare, are dedicated to helping cardiologists and cardiology practices run their facilities with ease under full HIPAA compliance and data security standards.

Contact Bikham Healthcare today to learn more about our medical billing services.

Monday 27 May 2019

Outsourcing Chiropractic Medical Billing & Coding Services


Every chiropractor looks for effective and quick billing to increase their revenue. However, with the continuous code updates and changing reimbursement guidelines, an effective revenue cycle management is essential for the medical practitioners.

Due to the updates and changes in coding and regulations respectively, the increased amount of work related to chiropractic practice has made it hard for primary care physicians to concentrate on their practice which creates multiple obstacles during insurance claim processing.

Outsourcing chiropractic medical billing & coding services

Problems that chiropractors face:

         Lack of accountability in the workplace and knowledge of the coding system which leads to denials and slow cash flow.
         Shortage of the tracking system required for billing results in issues with account receivables and collections.
         Cancellation of appointments and vacant time slots resulting in lower revenues and slow cash flow.

In order to overcome these issues and help the business flourish, most of the practitioners outsource specialized chiropractic claims billing services. Whilst choosing the best billing company, make sure that they have the right tools and expertise to help you run your chiropractic business smoothly.

Why Bikham?

Medical billing and coding services offered by our company are top of the line and our billing and coding team possess in-depth knowledge of the coding process of chiropractic medical billing services and procedures. We own the required tools and are perfectly capable and experienced to handle the complications related to RCM, helping you get your claims swiftly as possible.

As a reliable and trusted medical billing services provider, we have been able to achieve a high success rate of claim reimbursement. Our billers and coders ensure smooth cash flow and higher reimbursement revenues which directly impact the practice’s business resulting in prospering of the practice and exponential growth in the revenue stream.

What drives us:

Our sole aim is to obtain maximum reimbursement and our experts possess that professional efficacy in order to achieve their goal and live up to the chiropractors' expectation. We can assist you to boost your revenue along with the cutback in a number of denials and unpaid claims. Our professionals also provide you with the less, yet proper paperwork and more successful claims which results in the betterment of your business.  We are going to familiarize you with the services provided by our experts on the floor.


         Insurance verification and authorizations
         Processing of claims takes less time
         Proper and error-free assigning of codes
         Accurate analysis of account receivables
         Regular follow-ups with the insurance providers
         Daily, weekly and monthly reports

Chiropractic Medical Billing Services

We understand that chiropractic billing and coding is a tricky and a complicated process.
Which is why we make sure we do the best job possible helping you reimburse with all the codes assigned correctly. Outsourcing your billing practices to us will be the best decision you ever make because we make sure you never have a bad pay-day.

Partnering with a trusted brand-name like Bikham Healthcare is the smart choice here. Our suite of billing solutions offers you the chance to pick the set of services you want. Our package of solutions is customizable and tailored to fit your needs. Always ensuring its cost-effective nature and top-notch efficiency stays in place. While being HIPPA compliant, we're also ISO/IEC:27001:2013 certified. Meaning our constant strive for excellence is always matched by our adherence to professional ethics.