Jul 28th, 2014
If you are wondering why your practice is receiving an unexpected number of denials for certain codes, you may want to check out a recent study published in Physicians Practice which ranks the top five unexpected denials in various specialties. Data was collected by RemitDATA from May 1, 2014 – May 31, 2014 via electronic ...
In Audit
Sep 16th, 2011
If you’re having a hard time getting Medicare to pay for radiologic chest examinations claims, you’re in good company. In Southern California alone, Palmetto GBA recently reported a 46.3 percent charge denial rate. And that was just between the months of February and April of this year. The Jurisdiction 1 Medicare administrative contractor (J1-MAC) recently ...
Jun 1st, 2010
By Holly J. Cassano, CPC As a Certified Professional Coder (CPC®) who supports emergency department (ED) physicians, I am often asked how to code appropriately for the physician component of critical care services in the ED. In response, I created these 10 commandments of critical care coding in the emergency room (ER). 1. Thou Shalt ...
Dec 1st, 2008
Here’s what you need to know to stay in compliance. Part 1 of a 2-part series By Elin Baklid-Kunz, MBA, CPC, CCS It’s not easy keeping current with Medicare’s changing critical care services policy. Recent changes include the July 1, Change Request (CR) 5993, which revises the Medicare Claims Processing Manual, Publication 100-04, chapter 12, ...