In Coding
Dec 1st, 2018
Get a reading on the latest diagnosis coding guidelines for heart disease. Even after the addition of coding guidelines for acute myocardial infarction (MI) in 2017, many coders remain confused between the different types of MI and the relevant code categories. You may wonder, for example, what differentiates acute MI from subsequent MI. Proper diagnosis ...
In CMS
Feb 14th, 2017
Small practices and facilities stand to benefit from new payment models based on new quality measures for coronary and orthopedic care. In December, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models shifting Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care ...
Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...
Jul 1st, 2012
By Judy A. Wilson, CPC, CPC-H, CPCO, CPC-P, CANPC, CPC-I, CMRS A transesophageal echocardiogram (TEE) uses an ultrasound transducer positioned on an endoscope and guided into the patient’s esophagus to visualize the heart’s valves and chambers without interference from the ribs or lungs. An anesthesiologist may use TEE as a diagnostic tool to establish conditions ...
Feb 1st, 2011
Big changes to PQRI in 2011 put pay for performance in the spotlight. By Penny Osmon, BA, CPC, CPCI, CHC, PCS Updates to the Physician Quality Reporting Initiative (PQRI) signal that the shift from pay for reporting to pay-for-performance has begun. The 2011 Physician Fee Schedule final rule, issued Nov. 2, 2010 by the Centers ...