In Coding
Dec 5th, 2019
Part 1: Know the limitations of EMRs and the importance of quality data collection. Patients with gender conflict have stereotyping and depression to overcome; don’t let staff and billing be another obstacle they must face when getting medical care. One way you can help them overcome challenges is by knowing the limitations of electronic medical ...
In Coding
Dec 4th, 2019
Anatomy is important when applying bundling rules to procedures. The shoulder is a complex joint, and proper coding for shoulder procedures requires a strong foundation of knowledge in anatomy and physiology. Shoulder arthroscopy codes particularly can be confusing as the guidelines for arthroscopic shoulder surgeries have changed considerably in the last decade. Here are some ...
In Coding
Dec 2nd, 2019
An article in Healthcare Business Monthly prompts further discussion as guidance is applied to orthopedic coding. I was quite inspired by the article “Lesions, Masses and Tumors, Oh My!” (October, pages 30-32) by Winda Hampton, RHIA, CPMA, CCS-P. She brings to light some important points in the quest for clarification of what clinical terminology physicians ...
In Coding
Dec 1st, 2019
AAPC’s coding expert Raemarie Jimenez gives you the scoop on next year’s updates. Code update season is always an exciting time of year. With it brings new, revised, and deleted CPT® codes and coding guidelines that are effective Jan. 1, 2020. There are a lot of CPT changes to learn about: The CPT® 2020 code book ...
In Audit
Nov 27th, 2019
Consistent with previous reporting, the Office of Inspector General (OIG) has added to its 2020 Work Plan a targeted audit of Medicare Advantage (MA) programs for risk adjustment diagnosis codes. This is not the first time federal agency has targeted risk adjustment data. The OIG stated back in 2017, “We will review the medical record ...