This document discusses 5 target areas that Recovery Audit Contractors (RACs) are focusing on:
1. CMS has delayed the Medicaid RAC program implementation deadline to allow more state preparation.
2. RACs aim to detect and correct past improper Medicare payments to prevent future issues. They can review claims back 3 years and recover contingency fees from identified overpayments.
3. RACs were referred few potential fraud cases due to lack of incentive from contingency fees.
4. Providers should review documentation, coding, billing practices and educate staff to prevent RAC overpayment findings.
5. Common RAC focus areas include IV hydration coding, therapy evaluation codes, radiology billing, and Ne
The document provides a summary of information from various coding and reimbursement conferences and resources. It discusses changes to CPT and ICD-9 codes for 2011 related to topics like E/M documentation, vaccine administration, physical therapy caps, and cardiac catheterization codes. It also addresses questions around coding issues including monitoring studies, endoscopy procedures, and hip arthroscopy.
The document is the 2011 OIG Workplan for Physicians. It outlines the Office of Inspector General's investigative priorities for 2011, which include evaluating payments for evaluation and management services, diagnostic testing, medical necessity of claims, and compliance with Medicare rules. The Workplan is released annually and provides guidance for healthcare providers to identify areas of focus for compliance audits and taking corrective actions if issues are found.
The document discusses how the Patient Protection and Affordable Care Act (PPACA) will impact Medicare payments and billing procedures. Key points include:
1) The PPACA establishes annual wellness visits for Medicare beneficiaries starting in 2011 that are not subject to deductibles or coinsurance.
2) Starting in 2011, primary care physicians will receive a 10% bonus on Medicare payments if they bill at least 60% of services as primary care.
3) Claims must now be submitted within one calendar year of the date of service instead of 15 months, effective January 2010.
4) Several other payment increases and changes take effect between 2010-2015, including bonuses for services in underserved areas and an extension
The correct answer is C. The new H1N1 codes require specifying if the manifestation is pneumonia, other respiratory manifestations, or other manifestations.
Fecal Impaction Has New Options
Answer 2: False.
Talking point: 787.6 is deleted and replaced with more specific codes for fecal incontinence symptoms like full incontinence, incomplete defecation, smearing, and urgency.
Pain Gets 1 More Symptom
Answer 3: C.
Talking point: A new code (784.92) has been added for jaw pain.
This document provides summaries of updates from a Twitter account focused on coding topics. It includes short messages about changes to CMS conversion factors, an AAPC conference location change, upcoming cuts to reimbursement by BCBS for certain modifiers, and articles on secondary payer situations and foreign body removal coding. It encourages following the Twitter account for timely coding information and joining an online coding community for advice and resources. Brief descriptions of medical coding, its importance, and basic coding steps are also provided.
The document provides guidance on using modifier 59 to report procedures that are not normally bundled but are appropriate to bill separately in certain circumstances, such as when they are performed at different session, for a different diagnosis, or require a separate incision. It outlines the rules for using modifier 59 and provides examples of its proper use in orthopedic, ob-gyn, and other clinical scenarios. Overall, the document aims to help providers understand when and how to appropriately "break bundles" using modifier 59.
This document provides guidance on how to evaluate medical decision making (MDM) and assign a level of decision making based on the 1995 and 1997 E/M Documentation and Coding Guidelines. It explains the table of risk, one of the preliminary tables used to determine MDM level. It discusses how to classify a problem's status, amount and complexity of data reviewed, and level of risk based on presenting problems, diagnostic tests ordered, and management options. The document provides examples and tips for accurately evaluating each component and avoiding common pitfalls when determining the MDM level.
This document discusses 5 target areas that Recovery Audit Contractors (RACs) are focusing on:
1. CMS has delayed the Medicaid RAC program implementation deadline to allow more state preparation.
2. RACs aim to detect and correct past improper Medicare payments to prevent future issues. They can review claims back 3 years and recover contingency fees from identified overpayments.
3. RACs were referred few potential fraud cases due to lack of incentive from contingency fees.
4. Providers should review documentation, coding, billing practices and educate staff to prevent RAC overpayment findings.
5. Common RAC focus areas include IV hydration coding, therapy evaluation codes, radiology billing, and Ne
The document provides a summary of information from various coding and reimbursement conferences and resources. It discusses changes to CPT and ICD-9 codes for 2011 related to topics like E/M documentation, vaccine administration, physical therapy caps, and cardiac catheterization codes. It also addresses questions around coding issues including monitoring studies, endoscopy procedures, and hip arthroscopy.
The document is the 2011 OIG Workplan for Physicians. It outlines the Office of Inspector General's investigative priorities for 2011, which include evaluating payments for evaluation and management services, diagnostic testing, medical necessity of claims, and compliance with Medicare rules. The Workplan is released annually and provides guidance for healthcare providers to identify areas of focus for compliance audits and taking corrective actions if issues are found.
The document discusses how the Patient Protection and Affordable Care Act (PPACA) will impact Medicare payments and billing procedures. Key points include:
1) The PPACA establishes annual wellness visits for Medicare beneficiaries starting in 2011 that are not subject to deductibles or coinsurance.
2) Starting in 2011, primary care physicians will receive a 10% bonus on Medicare payments if they bill at least 60% of services as primary care.
3) Claims must now be submitted within one calendar year of the date of service instead of 15 months, effective January 2010.
4) Several other payment increases and changes take effect between 2010-2015, including bonuses for services in underserved areas and an extension
The correct answer is C. The new H1N1 codes require specifying if the manifestation is pneumonia, other respiratory manifestations, or other manifestations.
Fecal Impaction Has New Options
Answer 2: False.
Talking point: 787.6 is deleted and replaced with more specific codes for fecal incontinence symptoms like full incontinence, incomplete defecation, smearing, and urgency.
Pain Gets 1 More Symptom
Answer 3: C.
Talking point: A new code (784.92) has been added for jaw pain.
This document provides summaries of updates from a Twitter account focused on coding topics. It includes short messages about changes to CMS conversion factors, an AAPC conference location change, upcoming cuts to reimbursement by BCBS for certain modifiers, and articles on secondary payer situations and foreign body removal coding. It encourages following the Twitter account for timely coding information and joining an online coding community for advice and resources. Brief descriptions of medical coding, its importance, and basic coding steps are also provided.
The document provides guidance on using modifier 59 to report procedures that are not normally bundled but are appropriate to bill separately in certain circumstances, such as when they are performed at different session, for a different diagnosis, or require a separate incision. It outlines the rules for using modifier 59 and provides examples of its proper use in orthopedic, ob-gyn, and other clinical scenarios. Overall, the document aims to help providers understand when and how to appropriately "break bundles" using modifier 59.
This document provides guidance on how to evaluate medical decision making (MDM) and assign a level of decision making based on the 1995 and 1997 E/M Documentation and Coding Guidelines. It explains the table of risk, one of the preliminary tables used to determine MDM level. It discusses how to classify a problem's status, amount and complexity of data reviewed, and level of risk based on presenting problems, diagnostic tests ordered, and management options. The document provides examples and tips for accurately evaluating each component and avoiding common pitfalls when determining the MDM level.
CPC test taking tips - If you've set your eyes on the CPC exam, there's a lot of information out there to help you out., some of it is free and easily available.
Medical Coding and Billing Conference CodingCon OrlandoSuperCoder LLC
Join the most interactive specialty specific medical coding and billing conference i.e. codingcon 2015 set to take place on Dec 2-4 in Orlando, FL. Win FREE passes to attend the conference. Earn upto 18 CEUs.
Want to know more about upcoming codingCon 2015 just follow this link: https://goo.gl/Tsrl6B
ICD-10, unlike its predecessor ICD-9 is descriptive and intuitive to a great extent when it comes to diagnosis coding. As it is quite specific, providers and coders should have adequate knowledge on detailed documentation in order to support the selection of the appropriate diagnosis code by biller as well as the coder.
This document discusses how medical practice managers can optimize their use of technology through cloud computing solutions. It begins by debunking common myths about high costs and IT expertise being required. Specific examples are provided of how the author implemented cloud-based solutions for electronic medical records, telephone systems, payroll, and other services, saving thousands of dollars annually compared to traditional on-premise systems. The document encourages managers to research affordable cloud alternatives before making new technology purchases.
Choosing Proper Levels of EM Services - Dave Klein, CPC, CHCchiroview
This document discusses choosing the proper level of evaluation and management (E/M) services codes. It defines key terms related to E/M coding like new patient, established patient, chief complaint, and nature of presenting problem. It describes the seven components used to determine the E/M level - history, examination, medical decision making, counseling, coordination of care, nature of presenting problem, and time. The history, examination, and medical decision making components are outlined in further detail. Tables are provided to illustrate how to assess the level of risk, diagnostic procedures ordered, and management options selected for medical decision making.
This Twitter conversation discusses a meeting in Geneva, Switzerland on February 2nd, 2011 related to an event called #Lift11. The participant Matthias Luefkens thanks another participant for the discussion and references several Twitter accounts and websites related to discussions between world leaders on topics of global economic cooperation.
Master Telemedicine Coding, Compliance, and Reimbursement for 2019SuperCoder LLC
The document provides an overview of telemedicine and telehealth coding, compliance, and reimbursement for 2019. It discusses key definitions, eligible providers and services, requirements for originating and distant sites, documentation needs, and applicable codes. Virtual care options like brief virtual check-ins and remote evaluations are gaining acceptance from CMS. New HCPCS codes have been introduced, and telehealth reimbursement is expanding to include services for conditions like opioid use disorder. Compliance with regulations remains important for proper billing and reimbursement.
Free E/M Coding Calculator by TCI SuperCoderSuperCoder LLC
E/M coding is so complex that it just makes sense to use the automatic E/M Calculator! This E/M free calculator helps you move quickly through the history, examination, and medical decision making components for E/M codes.
Sign Up to Access E/M Calculator for FREE: https://www.supercoder.com/coding-tools/em-calculator
Don’t Get Burned by OIG - SuperCoder WebinarSuperCoder LLC
Want to know what the feds are up to? Are you curious about what OIG is targeting? Stay one step ahead of CMS and OIG and get the inside scoop on the top areas of focus. Instead of sifting through the OIG site, let us do it for you. Ensure that you’ll be ready if you get a request for an audit — Join Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™ as she discusses OIG hot button issues and their current plan of focus. Plus—you’ll gain tips and resources to keep you one step ahead. Nikki will highlight what you need to know to ensure that you’re on the right path to compliance.
During the webinar you’ll:
Get to know what’s new at OIG and what that means for you
Get the inside scoop on targeted billing errors found by CMS and learn how you can avoid them including critical care visits, incorrect hospital visit billing, ESRD coding and more
Gain practical advice on how to discuss government compliance with your providers
Highlight helpful tools and resources to help ensure coding and billing compliance
Learn the Ins and Outs of the 2019 Medicare Physician Fee Schedule Final Rule SuperCoder LLC
Back in July of 2018, CMS dropped some bombshells in its Medicare Physician Fee Schedule (MPFS) CY 2019 proposed rule. Due to overwhelming stakeholder feedback — much of it negative — the agency has resolved to implement the E/M updates over the course of two years, with only a few subtle modifications for CY 2019.
Learn the ins and outs to the MPFS Final Rule and find out how it may affect your practice.
During the webinar you’ll:
Take charge and learn how CMS is helping reduce administrative burden on medical providers with their Patients Over Paperwork initiative
Learn the requirements for medical decision making for home visits
Gain helpful insight into documentation changes for E/M visits
Get the inside scoop on how reimbursement may change for the future
Nail down the changes to virtual care including virtual check-ins
Highlight helpful tools and resources to help you keep track of all of the changes
Spotlight on CMS-HHS Updates to Combat DisastersSuperCoder LLC
The document discusses key steps and requirements for disaster declarations and waivers. A governor first declares a state of emergency. The President then declares an emergency under the Stafford Act. Next, the HHS Secretary declares a public health emergency under Section 319. Once these steps occur, the HHS Secretary can issue an 1135 waiver to modify certain Medicare, Medicaid, and HIPAA rules in emergency areas. The waiver allows for reimbursement and compliance flexibility to assist healthcare during disasters.
Effective Use Of NCD, LCD, and NCCI Edits for Clean ClaimSuperCoder LLC
Do you know how to use the NCD, LCD, and NCCI edits for the most accurate claim submission? Getting the most out of these edits can help from getting those denied claims in the first submission.
We will review:
Definition of NCCI (CCI), NCD and LCD and their importance
How NCCI (CCI) edits impact CPT coding
ICD 10-CM updates that will affect NCD and LCD
Helpful tips to send out clean claims
Learn tools and resources that will help with the up-to-date coding changes
Confront Tough Orthopedic Billing & Coding Challenges Before it's Too Late!SuperCoder LLC
Let’s Consider This Orthopedic Medical Coding Scenario
An orthopedic surgeon states in the operative report that he did both medial and lateral arthroscopic meniscectomies.
Macra, qpp, mips and ap ms rules of the gameSuperCoder LLC
Does the alphabet soup of MACRA have your head spinning? Join TCI for this one-hour webinar that will help you understand the ins and outs of MACRA and what it means for your practice.
You’ll learn:
The latest on MACRA and QPP trends
The payment changes you’ll face over the next four years
What a MIPS Composite Performance Score is and how you can improve yours
The differences between MIPS Advancing Care Information and Meaningful Use
How to create an improvement activities team
The winning strategy for tackling MIPS performance measures
And more!
Will CPT® 2017 Settle Drug-Screen Coding Once and For All?SuperCoder LLC
Coding for drug screening certainly keeps you sharp. Along with all the CPT® codes and rules, you’ve got to remember that Medicare requires use of a separate set of HCPCS codes in 2016. But you may find things a little simpler in 2017.
Are you wondering if you missing coding opportunities? Join us in this webinar where we will address all of your knee coding questions and concerns.
Trenda L Davis, CPC for Supercoder will be hosting this complimentary webinar that will get you in the know of knee coding.
This webinar will address concerns regarding arthroscopic and open knee coding. Some of the topics we will discuss will be:
When is it appropriate to bill synovectomy (29875-29876)?
Can you bill for loose body? 29874 versus G0289
Coding for incision and drainage of the knee.
We will discuss total knee replacement, conversion, and revision.
Make sure you are using the appropriate diagnosis code. Acute versus Chronic
Avoid Confusion on Infusions! Infusion and Injection Coding Tips and TricksSuperCoder LLC
Don't let the coding of injections and infusions cause CONFUSION! In this webinar, you will learn how to eliminate any confusion related to the proper coding of injections and infusions. You will also learn about new CPT codes for 2017, key definitions and documentation principles, and proper infusion times.
By the end of this webinar participants will be able to:
Become proficient on proper code selections pertinent to pediatric vaccinations and administration
Ensure proper payment for drug claims and drug administration submit to Medicare
Determine tips and tricks for proper code selection related to drug administration, infusions and injections
Learn the different codes created by the American Medical Association (AMA) for “initial” and subsequent administrations
Ensure a complete understanding of the latest CCI Edits effective January 1, 2017! Learn about the latest changes that may affect billing and coding and how to ensure revenue integrity within your practice.
Need to get up to speed on 2017’s angioplasty code updates? We’ve got a handy tool for learning deleted codes, new codes, and important tips to apply the codes correctly.
CPC test taking tips - If you've set your eyes on the CPC exam, there's a lot of information out there to help you out., some of it is free and easily available.
Medical Coding and Billing Conference CodingCon OrlandoSuperCoder LLC
Join the most interactive specialty specific medical coding and billing conference i.e. codingcon 2015 set to take place on Dec 2-4 in Orlando, FL. Win FREE passes to attend the conference. Earn upto 18 CEUs.
Want to know more about upcoming codingCon 2015 just follow this link: https://goo.gl/Tsrl6B
ICD-10, unlike its predecessor ICD-9 is descriptive and intuitive to a great extent when it comes to diagnosis coding. As it is quite specific, providers and coders should have adequate knowledge on detailed documentation in order to support the selection of the appropriate diagnosis code by biller as well as the coder.
This document discusses how medical practice managers can optimize their use of technology through cloud computing solutions. It begins by debunking common myths about high costs and IT expertise being required. Specific examples are provided of how the author implemented cloud-based solutions for electronic medical records, telephone systems, payroll, and other services, saving thousands of dollars annually compared to traditional on-premise systems. The document encourages managers to research affordable cloud alternatives before making new technology purchases.
Choosing Proper Levels of EM Services - Dave Klein, CPC, CHCchiroview
This document discusses choosing the proper level of evaluation and management (E/M) services codes. It defines key terms related to E/M coding like new patient, established patient, chief complaint, and nature of presenting problem. It describes the seven components used to determine the E/M level - history, examination, medical decision making, counseling, coordination of care, nature of presenting problem, and time. The history, examination, and medical decision making components are outlined in further detail. Tables are provided to illustrate how to assess the level of risk, diagnostic procedures ordered, and management options selected for medical decision making.
This Twitter conversation discusses a meeting in Geneva, Switzerland on February 2nd, 2011 related to an event called #Lift11. The participant Matthias Luefkens thanks another participant for the discussion and references several Twitter accounts and websites related to discussions between world leaders on topics of global economic cooperation.
Master Telemedicine Coding, Compliance, and Reimbursement for 2019SuperCoder LLC
The document provides an overview of telemedicine and telehealth coding, compliance, and reimbursement for 2019. It discusses key definitions, eligible providers and services, requirements for originating and distant sites, documentation needs, and applicable codes. Virtual care options like brief virtual check-ins and remote evaluations are gaining acceptance from CMS. New HCPCS codes have been introduced, and telehealth reimbursement is expanding to include services for conditions like opioid use disorder. Compliance with regulations remains important for proper billing and reimbursement.
Free E/M Coding Calculator by TCI SuperCoderSuperCoder LLC
E/M coding is so complex that it just makes sense to use the automatic E/M Calculator! This E/M free calculator helps you move quickly through the history, examination, and medical decision making components for E/M codes.
Sign Up to Access E/M Calculator for FREE: https://www.supercoder.com/coding-tools/em-calculator
Don’t Get Burned by OIG - SuperCoder WebinarSuperCoder LLC
Want to know what the feds are up to? Are you curious about what OIG is targeting? Stay one step ahead of CMS and OIG and get the inside scoop on the top areas of focus. Instead of sifting through the OIG site, let us do it for you. Ensure that you’ll be ready if you get a request for an audit — Join Nikki Taylor, MBA, CPC®, COC™, CPMA®, CRC™ as she discusses OIG hot button issues and their current plan of focus. Plus—you’ll gain tips and resources to keep you one step ahead. Nikki will highlight what you need to know to ensure that you’re on the right path to compliance.
During the webinar you’ll:
Get to know what’s new at OIG and what that means for you
Get the inside scoop on targeted billing errors found by CMS and learn how you can avoid them including critical care visits, incorrect hospital visit billing, ESRD coding and more
Gain practical advice on how to discuss government compliance with your providers
Highlight helpful tools and resources to help ensure coding and billing compliance
Learn the Ins and Outs of the 2019 Medicare Physician Fee Schedule Final Rule SuperCoder LLC
Back in July of 2018, CMS dropped some bombshells in its Medicare Physician Fee Schedule (MPFS) CY 2019 proposed rule. Due to overwhelming stakeholder feedback — much of it negative — the agency has resolved to implement the E/M updates over the course of two years, with only a few subtle modifications for CY 2019.
Learn the ins and outs to the MPFS Final Rule and find out how it may affect your practice.
During the webinar you’ll:
Take charge and learn how CMS is helping reduce administrative burden on medical providers with their Patients Over Paperwork initiative
Learn the requirements for medical decision making for home visits
Gain helpful insight into documentation changes for E/M visits
Get the inside scoop on how reimbursement may change for the future
Nail down the changes to virtual care including virtual check-ins
Highlight helpful tools and resources to help you keep track of all of the changes
Spotlight on CMS-HHS Updates to Combat DisastersSuperCoder LLC
The document discusses key steps and requirements for disaster declarations and waivers. A governor first declares a state of emergency. The President then declares an emergency under the Stafford Act. Next, the HHS Secretary declares a public health emergency under Section 319. Once these steps occur, the HHS Secretary can issue an 1135 waiver to modify certain Medicare, Medicaid, and HIPAA rules in emergency areas. The waiver allows for reimbursement and compliance flexibility to assist healthcare during disasters.
Effective Use Of NCD, LCD, and NCCI Edits for Clean ClaimSuperCoder LLC
Do you know how to use the NCD, LCD, and NCCI edits for the most accurate claim submission? Getting the most out of these edits can help from getting those denied claims in the first submission.
We will review:
Definition of NCCI (CCI), NCD and LCD and their importance
How NCCI (CCI) edits impact CPT coding
ICD 10-CM updates that will affect NCD and LCD
Helpful tips to send out clean claims
Learn tools and resources that will help with the up-to-date coding changes
Confront Tough Orthopedic Billing & Coding Challenges Before it's Too Late!SuperCoder LLC
Let’s Consider This Orthopedic Medical Coding Scenario
An orthopedic surgeon states in the operative report that he did both medial and lateral arthroscopic meniscectomies.
Macra, qpp, mips and ap ms rules of the gameSuperCoder LLC
Does the alphabet soup of MACRA have your head spinning? Join TCI for this one-hour webinar that will help you understand the ins and outs of MACRA and what it means for your practice.
You’ll learn:
The latest on MACRA and QPP trends
The payment changes you’ll face over the next four years
What a MIPS Composite Performance Score is and how you can improve yours
The differences between MIPS Advancing Care Information and Meaningful Use
How to create an improvement activities team
The winning strategy for tackling MIPS performance measures
And more!
Will CPT® 2017 Settle Drug-Screen Coding Once and For All?SuperCoder LLC
Coding for drug screening certainly keeps you sharp. Along with all the CPT® codes and rules, you’ve got to remember that Medicare requires use of a separate set of HCPCS codes in 2016. But you may find things a little simpler in 2017.
Are you wondering if you missing coding opportunities? Join us in this webinar where we will address all of your knee coding questions and concerns.
Trenda L Davis, CPC for Supercoder will be hosting this complimentary webinar that will get you in the know of knee coding.
This webinar will address concerns regarding arthroscopic and open knee coding. Some of the topics we will discuss will be:
When is it appropriate to bill synovectomy (29875-29876)?
Can you bill for loose body? 29874 versus G0289
Coding for incision and drainage of the knee.
We will discuss total knee replacement, conversion, and revision.
Make sure you are using the appropriate diagnosis code. Acute versus Chronic
Avoid Confusion on Infusions! Infusion and Injection Coding Tips and TricksSuperCoder LLC
Don't let the coding of injections and infusions cause CONFUSION! In this webinar, you will learn how to eliminate any confusion related to the proper coding of injections and infusions. You will also learn about new CPT codes for 2017, key definitions and documentation principles, and proper infusion times.
By the end of this webinar participants will be able to:
Become proficient on proper code selections pertinent to pediatric vaccinations and administration
Ensure proper payment for drug claims and drug administration submit to Medicare
Determine tips and tricks for proper code selection related to drug administration, infusions and injections
Learn the different codes created by the American Medical Association (AMA) for “initial” and subsequent administrations
Ensure a complete understanding of the latest CCI Edits effective January 1, 2017! Learn about the latest changes that may affect billing and coding and how to ensure revenue integrity within your practice.
Need to get up to speed on 2017’s angioplasty code updates? We’ve got a handy tool for learning deleted codes, new codes, and important tips to apply the codes correctly.
Don’t Land in Hot Water-Audit Proof your Coding and DocumentationSuperCoder LLC
SuperCoder’s “Don’t Land in Hot Water: Audit Proof Your Coding and Documentation” webinar focuses on how to correctly interpret CMS medical record documentation guidelines and what to expect from an RAC audit. The webinar, which is presented by The Coding Institute expert Nikki Taylor, MBA, COC, CPC, CPMA Auditor, has been designed to help you implement certain practices that could make your coding and documentation processes audit proof. The webinar delves into understanding government audits and their areas of inquiry, dealing with CMS medical record documentation guidelines, how to handle an RAC audit, how to leverage self-audits and external audits to improve your documentation process, find out areas where you are lacking and how to correct insufficient provider documentation, tips to avoid civil monetary penalties, and more. You will also learn how to use SuperCoder tools like E/M audit tool and medicare audit tool, to make your practice more secure and safeguard your revenue against penalties.
Implementing an Effective Compliance Plan in Response to a Medicare AuditSuperCoder LLC
Implementing an Effective Compliance Plan in Response to a Medicare Audit webinar by SuperCoder explains in detail about government audits and what constitute a fool proof compliance plan. The webinar, which is presented by Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I, is designed to help you jump over compliance potholes and ensure that your revenue is safe against financial setbacks. Some of the key points covered in the webinar include what is a medicare audit and why is it undertaken, what is health care fraud and how to avoid it, how to leverage OIG compliance guidance, how to create an effective compliance program, how to identify risk areas, when and how to perform chart audit, who all are involved in an audit, how to respond correctly to an audit request, and more. The webinar also features critical advice on how to make your practice audit proof and avoid coming under the compliance hammer.
This document provides the top 10 tips for ICD-10 coding, including clarifications on coding guideline changes for FY 2017 focusing on topics like laterality for retinopathy and diabetic neuropathy, post-op seroma, excludes1/excludes2 notes, atypical fractures, and injury reporting. The objectives are to obtain insights on these topics and utilize expert tools to accurately select codes for compliance while avoiding denials.
On September 30, when the grace period ends, denials will most likely increase. Follow these tips to stay on the right track and successfully collect for your services .
• Aim for clear clinical documentation. You’ve had time to see where your providers’ notes don’t match ICD-10’s specificity requirements. Include these trouble spots in your next round of documentation training.
• Document all treated diagnoses. And be sure to follow ICD-10 sequencing rules on your claim.
• Review. Review. Review. Are you prepared for the new codes coming in October?
Observation documentation for proper coding, billing and reimbursement
1. The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 www.codinginstitute.com
Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com
OBSERVATION DOCUMENTATION FOR PROPER CODING, BILLING
AND REIMBURSEMENT
For observation services correct documentation is extremely important. Join speaker
Duane Abbey, Ph.D. in this informative session to know how observation service is
different from inpatient admissions. In this 90 minute session, he will cover physician
documentation along with nursing and clinical documentation.
2. The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 www.codinginstitute.com
Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com
3. The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 www.codinginstitute.com
Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com
Register here: http://goo.gl/Fu8uca
Register now and get 10% off with Coupon Code Audio10 Coupon Code.