In Billing
Apr 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule April 14 that would update 2018 Medicare payment and polices in the Inpatient Prospective Payment System (IPPS) and Long-term Care Hospitals Prospective Payment System (LTCH PPS). The proposed changes apply to approximately 3,330 acute care hospitals and approximately 420 LTCHs and, if finalized, ...
In Coding
Apr 10th, 2017
The demand for qualified medical coders has never been greater, but is the career right for you? Learn more about the role coders play in our infographic, Day in the Life of a Medical Coder. See how they work in synergy with physicians and other healthcare staff to keep medical facilities compliant and successful. After ...
Apr 7th, 2017
Are you tired of always being the last one to know when the Centers for Medicare & Medicaid Services (CMS) has issued a final rule or transmittal with new coding/billing guidance? Be the first to learn of new Medicare regulations and become a valuable resource for your providers. Simply go to www.cms.gov and scroll toward the ...
In Audit
Apr 7th, 2017
The main reason Medicare denies claims is because there is insufficient documentation in the medical record. For all surgical services, make sure the medical record has these four elements: Correct date of service Reason for procedure Signed operative report Physician signature and/or signature log or attestation for an illegible signature Showing medical necessity is only ...
Mar 27th, 2017
Editors’ Note:  Data provided for this story was researched and compiled by David Blackmer, MSC. The Patient Protection and Affordable Care Act (ACA) continues to be the law of the land, so we asked AAPC members how their practices have changed since Obamacare was enacted.  In a recent survey, we found about half our members’ ...