Jan 4th, 2016
No. 1 on the top 20 list of types of services with downcoding errors is (drum roll, please)… established office visits, according to the U.S. Department of Health & Human Services (HHS) Supplementary Appendices for Medicare Fee-for-Service (FFS) 2015 Improper Payment Report. Under the direction of the Centers for Medicare & Medicaid Services (CMS), the ...
Aug 1st, 2014
Know the best coding approach when a family member or caretaker is present on a patient’s behalf. Typically, insurers (including Medicare) will not cover an evaluation and management (E/M) service with a patient’s family or caretaker(s) if the patient is not present. In such a case, the best approach to ensure reimbursement is to not ...
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 ...
Feb 1st, 2014
“Clean” claims are only as accurate as your trained coders. By Angela Clements, CPC, CEMC, COSC Software coding edits can be beneficial for a physician office or they can be harmful—it all depends on the end user. From my experience, the pros of software coding edits outweigh the cons. Pros: Software coding edits provide practices ...
Jun 1st, 2013
Facility Coding relies on the details of these much-needed emergent care services. By Lori-Lynne A. Webb, CPC, COBGC, CCS-P, CCP, CHDA Coding for an obstetrics/gynecology (OB/GYN) hospitalist requires an understanding of the OB/GYN specialty, as well as of place of service (POS) codes, time-based codes, evaluation and management (E/M), ancillary services, and OB/GYN procedures. Get ...