Mammography for breast cancer screening sees many changes to coding guidelines and reporting in 2017 and 2018. October is Breast Cancer Awareness Month, making it an ideal time to review coding and coverage guidelines for mammography. These guidelines have undergone major changes in the past year, with further changes expected in 2018. 2017 Introduced New ...
After hours visits benefit both the patient and insurer, and can boost your reimbursement when used correctly. Not every patient visit to the physician office occurs during standard business hours. CPT® provides dedicated codes to account for office services provided during off hours, such as weekends, holidays, or evenings. Applied judiciously — and with the ...
Listen to the advice of others before making up your mind. Coders entering the healthcare industry at the turn of the century had it easy: Their only tools of the trade were CPT®, ICD-9, and HCPCS Level II books. Today, coders have options. New technology has many new coders wondering whether they should invest in ...
Understand the factors that contribute to health plan payment determination. Risk adjustment is a process by which health plans factor in expenditures associated with their enrollees’ (beneficiary/patient) individual health status. Most health plans involved in risk adjustment receive federal funding to provide health insurance to individuals who are considered high risk due to chronic conditions. ...
Follow best practices to meet annual exam documentation requirements. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CFPC, CIMC, CSCG, AAPC Fellow Unlike other evaluation and management (E/M) services in the CPT® codebook, preventive services do not have specific documentation guidelines required to support the service provided. Here’s what you should know to ensure documentation supports ...