Jun 1st, 2009
Medicare’s way isn’t always the right way. By Michael D. Miscoe, JD, CPC, CASCC, CUC, CHCC There is an old adage that if you are right with Medicare, you are right with the rest of the (payer) world. Although such a universal truth would make both coders’ and auditors’ jobs much easier, it simply isn’t ...
In Coding
Mar 1st, 2009
From A-scans to YAG. By Kim Ross, CPC, OCS, and Sue Vicchrilli, COT, OCS Remember the pirate’s often-lost wooden eye in “Pirates of the Caribbean?” Or Tom Cruises’ eye transplant in “Minority Report?” Movies showing eye injuries intrigue us. Although it is a challenge to code these incidents, an even greater challenge is correctly coding ...
In CMS
Jan 30th, 2009
The Centers for Medicare & Medicaid Services (CMS) has identified nine National Correct Coding Initiative (NCCI) code pair edits that were erroneously included in the integrated outpatient code editor (I/OCE) version 10.0 with an implementation date of Jan. 5. NCCI Code Pair Edits Need Correction was last modified: January 27th, 2016 by admin aapc...
Jan 1st, 2009
CMS continues to emphasize value-based purchasing and promote efficiency incentives. By Denise Williams, RN, CPC-H In the 2009 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) reviewed and reclassified ambulatory payment classification (APC) assignment based on the “2X Rule Violation.” Prospective payment involves an inherent grouping o...
Jan 1st, 2009
By Jennifer Swindle, CPC, CEMC, CFPC, RHIT, CCS-P, CCP-P There are many minor skin procedures performed in the medical office. It’s critical for coders and physicians to communicate effectively so documentation is clear and concise, coding is accurate, and reimbursement is appropriate. Biopsies, excisions of both benign and malignant lesions, destruction of pre-malignant and benign ...