Knowledge Center
Under the “primary care exception,” a medical resident may perform (and bill for) limited, specific evaluation and management services without the presence of a teaching physician. Here’s what you need to know when reporting these resident services. ...
By Maryann Palmeter
Jan 2nd, 2019
Comments Off on Coding Common Bedside Ultrasound Exams? Not so FAST!
Proper coding requires capturing all elements of focused abdominal sonography for trauma in the medical record. Ultrasound equipment has become smaller and more portable, and the images produced are of high quality. As such, bedside ultrasound exams a...
By Maryann Palmeter
Oct 1st, 2018
Comments Off on Don’t Chase Your Tail Over Medically Unlikely Edits
Avoid payer denials by ensuring your provider or supplier follows the rules for allowable MUE units. Understanding why Medically Unlikely Edits (MUEs) were established, how they are organized, and the criteria on which edit rationales are based may ...
By Maryann Palmeter
Jul 1st, 2018
Comments Off on Add Advance Use Criteria to the Mix
The recipe for AUC yields improved quality, reduces unnecessary imaging, and lowers costs. The Protecting Access to Medicare Act of 2014 (Public Law 113-93) directed the Centers for Medicare & Medicaid Services (CMS) to establish a program to prom...
By Maryann Palmeter
May 1st, 2018
Comments Off on Documenting Drug Allergies and Drug Intolerance
Promote coding specificity and improved quality of care. It’s extremely important to teach patients the difference between true allergic reactions to drugs and anticipated adverse effects to drugs because treatment decisions could be affected. When pa...
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