By Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC There’s so much legislation popping up regarding ICD-10 implementation, you may be left wondering, What should you do? Many of us probably like the approach of sticking our heads in the sand and hoping it all goes away. But that these bills are popping up is ...
Jul 1st, 2013
The “new” code set will bring back end workflow changes; prepare now to save money later. By Yvonne Dailey, CPC, CPC-I, CPB The Centers for Medicare & Medicaid Services (CMS) is holding firm on the ICD-10-CM implementation date of Oct. 1, 2014. Although we don’t know exactly what affect the code set change will have ...
Dec 1st, 2012
By John S. Aaron, Jr., CPC When submitting claims involving unlisted services or procedures, you may experience claim denials routinely, even when special reports are included. Very often, you can avoid these denials by knowing your payers’ specific requirements. For example, some payers have forms specifically for review of special reports when unlisted services or ...
Nov 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Editor’s note: Health care reform brings a number of new concepts to coding, billing, compliance, and practice management. The most far reaching—especially from an organizational point of view—are accountable care organizations (ACOs). Below is the first ...
In Billing
Sep 12th, 2012
Sometimes all you need to make something work is an actual manual where all the parts are explained. Practices implementing version 5010 have access to such a manual from the Centers for Medicare & Medicaid Services (CMS). “Instructions related to the 835 Health Care Claim Payment/Advice based on ASC X12 Technical Report Type 3 (TR3), ...