We are medical coders

Why “Given” in Epic Does NOT Automatically Mean Billable If you’ve ever charged a medication just because Epic says “Given,” stop. That single word is one of the biggest reasons facilities lose money—or fail audits. In Epic, “Given” only confirms administration , not billability. Why This Matters Billing incorrectly can result in: Overcharges Denials Audit findings Revenue retractions And undercharging means lost revenue  you’ll never get back. What “Given” Actually Means “Gi

Every surgery is assigned a "global period," which can range from 0 to 90 days. For minor procedures, the global period is typically 0 or 10 days, while major surgeries can extend to 90 days. This global package includes three components: preoperative care, the surgery itself, and postoperative follow-up. Insurance companies pay one flat fee for the entire package. This approach encourages doctors to manage all stages of care, providing predictability in costs for insurers. I

Medical coding is a critical aspect of the healthcare industry, serving as the bridge between healthcare providers and insurance companies. Accurate coding ensures that healthcare providers are reimbursed for their services while also maintaining compliance with regulations. In this blog post, we will explore essential guidelines for accurate medical coding, providing practical tips and examples to help coders navigate this complex field. Understanding Medical Coding Medical