Auditing/Compliance Tips & Resources

 

The Missing Chief Complaint

A common problem with provider documentation is the missing chief complaint (CC). CPT® defines the CC as “A concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient’s words.”...

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Diagnostic Endoscopy Reporting Depends on Circumstances

Most experienced coders are familiar with the rule, “surgical endoscopy always includes diagnostic endoscopy.” These guidelines are outlined in Chapter I of the “General Correct Coding Policies for National Correct Coding Initiative Policy Manual for Medicare Services,” which states...

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When Resubmitting Claims Can Get You in Trouble

What do you do when an error on a claim is discovered by someone in your practice after the claim has been processed?
According to National Government Services (NGS), many physician practices correct such claims and then resubmit them. The problem...

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Practice Manager Training

Practice Manager Training

Practice Manager Training

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