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Issue #7 - March 20, 2013

Auditing/Compliance Tips and Resources

8 Tips for Compliant History Component Documentation
By Brandi Tadlock, CPC

To ensure high quality patient care and proper reimbursement, and to help protect you from audits, evaluation and management (E/M) documentation must meet or exceed complex requirements for every encounter.

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Top 10 Medicare Risk Adjustment Coding Errors
By Carol Olson, CPC, CPC-H, CPC-I, CEMC, CCS, CCS-P, CCDS

Medicare Advantage (MA) reimbursement can trip you up in ways you didn't expect. If you are seeing MA patients, be mindful of opportunities and pitfalls.

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Tennessee Therapists Dish Out Dough for Putting Quantity Before Quality

A physical therapy (PT) operation in Tennessee has agreed to pay the federal government for medically unnecessary services.

Therapists have struggled with payment policies over the last three decades as legislative efforts have employed methods that "supposedly" aim to bring the cost of services down by paying for the quality, rather than quantity, of care. Lynn S. Berry, PT, CPC, said "Therapists must juggle clinical concerns with documentation burdens to meet the challenge" of reimbursement.

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