In Audit
Apr 1st, 2014
Part 2: Know where auditors are focusing and build a solid defense. By Elin Baklid-Kunz, MBA, CHC, CPC, CCS Evaluation and management (E/M) services are a continuous target for the Office of Inspector General (OIG), private payers, and Centers for Medicare & Medicaid Services (CMS) auditors. To keep your E/M services compliant and under the ...
In Billing
Apr 1st, 2014
For more precise coding, understand underlying causes, anatomy, and new treatment options for obesity.  By Laurette Pitman, RN, CPC-H, CGIC, CCS Obesity has become a public health concern in the United States. In 2012, 26.2 percent of Americans were considered to be obese; of this population, 4 percent were considered to be morbidly obese. Body ...
In Coding
Apr 1st, 2014
Accurate ICD-10 coding requires proper documentation and an understanding of clinical conditions. By Betty Hovey, CPC, CPC-H, CPB, CPMA, CPC-I, CPCD Coding acute conditions in ICD-10-CM can be tricky for a few reasons: For starters, the term “acute” has various meanings in the diagnosis code set. Second, there are timeframe factors to consider. And, third, ...
In Audit
Apr 1st, 2014
Create a plan, use seven keys to implement it, and then customize it. By Alicia Shickle, CPC, CPCD, CPPM A provision in section 6401 of the Patient Protection and Affordable Care Act of 2010 (ACA) mandates physicians to adopt a compliance program as a condition of Medicare, Medicaid, or Children’s Health Insurance Program (CHIP) enrollment. ...
In Coding
Apr 1st, 2014
Familiarize yourself with new image-guided percutaneous fluid collection drainage codes, understand the rules, and apply them to scenarios. By Terri Brame, MBA, CHC, CPC, CPC-H, CPC-I, CGSC A review led by the American Medical Association’s CPT® Editorial Panel last year showed that codes for the surgical portion of percutaneous fluid drainage procedures were being reported ...