Communication is essential to a smooth appeals process. Your practice was the subject of a special investigation unit (SIU) audit, and now the payer is asking for a refund. You have two choices: pay or appeal. If you disagree with the findings, the smart choice is to meet with the payer, appeal the findings, and ...
Establish policy to handle patient medical record access scenarios, legally. Patients have a right to “request to view” their medical record. This right is conferred by the Standards for Privacy of Individually Identifiable Health Information, known as the HIPAA Privacy Rule of 2001 [45 C.F.R. § 164.524]. Let’s review legal details, so you can best ...
A clear understanding of these eating disorders ensures accurate ICD-10-CM reporting. Studies show that 30 million people in the United States suffer from an eating disorder, of which anorexia and bulimia are common types. Both conditions are the result of inappropriate caloric intake, but there are important distinctions you must know to code these services ...
Encounter codes require knowing sequencing guidelines and Medicare exceptions. When applied correctly, Z codes improve claims accuracy and specificity, and help to establish medical necessity for treatment. That’s reason enough to get to know them better. The Importance of Z Codes Z codes, found in Chapter 21: Factors Influencing Health Status and Contact with Health ...
Familiarity with this body part can serve you well in more ways than one. January being Thyroid Awareness Month, let’s take a few minutes to consider what can go wrong with this body part, and how to know when it’s time to see your physician. Naturally, we’ll throw in a little coding, too. Get to ...