Jan 28th, 2015
By: Gene Clarke, MBA, CIA, CISA Healthcare governance is a general term for the overall framework through which organizations are accountable for continuously improving clinical, corporate, staff, and financial performance. Governance is seen as the purview of Board’s of Directors and executive management; however, governance is operationalized in the day-to-day activities of providing patient car...
Sep 1st, 2013
Coding diagnostic ophthalmological procedures requires a clear focus on anatomy. By Nancy Clark, CPC, CPB, CPMA, CPC-I Numerous tests assist ophthalmologists and optometrists in diagnosing and treating eye diseases. Understanding these procedures will enable you to identify medical necessity. Let’s review several of the more common diagnostic procedures and explore their coding. Extended Ophthalmos...
By Michelle A. Dick AAPC’s 2013-2015 National Advisory Board (NAB) President David B. Dunn, MD, FACS, CIRCC, CPC-H, CCC, CCS, RCC, is a humble, down-to-earth surgeon who realized early in life that hard work brings success. He is a family man, a coder, and a Texas Longhorn enthusiast who is in love with Nashville. Being ...
In CMS
Sep 1st, 2012
The modifier is critical to telling the story of your medical coding claim. Just as words with similar definitions convey distinct meanings (“plan” versus “scheme,” for instance), so do modifiers with similar descriptors. We’ll discuss three that require precise application: modifiers 58, 78, and 79. Modifier 58 Modifier 58 Staged or related procedure or service by ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...