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Harold Gibson

Harold Gibson

Harold R Gibson is the Chief Financial Officer at M-Scribe - a medical billing service company. Harold is an accomplished healthcare professional with extensive experience in the medical billing and coding industry. You can follow him on Twitter @mscribetech. He is interested in getting your feedback/suggestions. Please email him at h.gibson@m-scribe.com.

Author's Posts

Using Predictive Analytics in Assessing Breast and Colon Cancer Risks

Harold Gibson

According to the World Health Organization (WHO), colon cancer is the third most common cancer and the second-highest cause of death worldwide, with breast cancer leading cancer among women, for whom those with denser breast tissue present challenges to effective screening.

Colon Screenings Improved with Predictive Analytics Models

Researchers affiliated with the Regenstrief Institute and US Dept of Veterans Affairs, led by Thomas F. Imperiale, MD, recently created a prediction model that can help determine a person’s risk of precancerous polyps and colon cancer. As a predictive analytic tool, the model can benefit patients in the UK, Canada, Netherlands, Australia, Italy, and other places where colonoscopies aren’t used for routine screenings.

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Topics: AI in healthcare, Predictive Analytics in Healthcare

Start Preparing Now for ICD-11 Changes

Harold Gibson

Medical practices and hospitals spent significant time and resources preparing for and adapting to ICD-10, but in 2019 the World Health Organization announced the new release of the International Classification of Diseases, Eleventh Edition (ICD-11). The good news is that your medical practice has some time to prepare for the changes. Countries may start using ICD-11 on January 1, 2022, although there’s been no decision on when and how the United States will begin implementing ICD-11.

While changing to ICD-11 should be far less challenging than the move to ICD-10, it’s still essential to prepare and plan ahead, so your practice is ready to move forward when it’s time to make the transition.

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Topics: ICD-11

How Predictive Analytics Tools Can Improve SDOH Outcome

Harold Gibson

Social Determinants Of Health (SDOH), is defined by CMS as “the range of environmental, social and economic factors that can impact health outcomes.” According to the Centers of Disease Control and Prevention (CDC), the conditions in which people work, live, and learn can impact a significant range of health risks and outcomes. Lack of resources, including poverty and distance to health care, can result in poor outcomes for lower-income brackets and other vulnerable populations.

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CMS Facing RPM Reimbursement Changes for 2022

Harold Gibson

Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM)

Back in December of 2020, the CMS adopted the 2021 Physician Fee Schedule Final Rule policies for proposed RTM coding additions that could allow non-physicians, such as physical therapists and nurses, to bill separately from physicians, as well as expand coverage to include certain therapies and procedures now in question. The rule’s intent is to further clarify the CMS’ position on interpreting monitoring requirements, building on earlier RPM guidance from healthcare professionals and telehealth and related organizations. While the September 13. 2021 deadline for submitting comments has just passed, the situation is worth watching for practices utilizing telehealth as well as medical billing companies.

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Topics: telehealth billing, RPM Billing, RTM Coding

CPT Codes Updated for COVID-19 Vaccines by AMA

Harold Gibson

Since the very first days of the COVID-19 pandemic, there have been a variety of CPT code changes to deal with the crisis. Now, there’s been a new update to the CPT code set by the American Medical Association regarding changes to the way that COVID-19 vaccines and booster shots — slated to begin rolling out soon — are billed. Not only do these updates include new CPT codes for the COVID-19 vaccine, but also a new code for a new Pfizer formulation of the vaccine, a formulation that moved to a tris-sucrose buffer in place of the original formulation’s phosphate buffer.

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Topics: COVID Coding, COVID-19 Coding

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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