Providers educated on new measures ensure accurate and updated patient health status. Written by: Meera Mohanakrishnan, MS, CPC, COC, CPC-P, CRC, CPC-I, CCS More than 90 percent of health plans use Healthcare Effectiveness Data and Information Set (HEDIS) to measure healthcare and service performance from overuse and appropriateness to chronic condition management. For 2018, the ...
Apr 16th, 2018
Mayo Clinic has given an estimated 400 medical transcriptionists at its Rochester, Minn., Jacksonville, Fla., and Scottsdale, Ariz., campuses until May 19 to accept a voluntary separation package, or risk unemployment due to job attrition. Alternatively, they can apply for a different position within the company. The offer coincides with the medical practice and research group’s ...
Their revenue and reputation are on the line. It has become clear that physicians are caught in a cycle of poor documentation because that is what they are taught by their peers. Coding professionals have an opportunity to bring it to an end by promoting and teaching a culture of proper medical record-keeping, which accurately ...
When provider and payer work together, everyone wins. By Marcia A. Maar, COC, CPC, CRC Clean, accurate provider documentation improves reimbursement. To demonstrate, consider the ideal reimbursement process: A patient comes in for an office visit or service. A provider documents the reason for the visit, which proves medical necessity for services provided on the ...
In Audit
Apr 7th, 2017
The main reason Medicare denies claims is because there is insufficient documentation in the medical record. For all surgical services, make sure the medical record has these four elements: Correct date of service Reason for procedure Signed operative report Physician signature and/or signature log or attestation for an illegible signature Showing medical necessity is only ...