In Coding
May 1st, 2014
Make it known: Guidelines drive coding, compliance, reimbursement, and quality of healthcare. By Ken Camilleis, CPC, CPC-I, CMRS, CCS-P You rely heavily on a variety of guidelines to assist in your work as a coder. Guidelines come from ICD-9-CM and ICD-10-CM, CPT®, payers, government agencies, and a host of other sources. There is no “one size ...
May 1st, 2010
By Laura Smith, CPC, CPC-I In 1997, Congress passed the Balanced Budget Act (BBA), which mandated risk adjustment methods to improve payment accuracy. Where previously CPT® codes drove payment, diagnosis codes and accurate documentation became the determining factors. As such, it became even more important for providers to sharpen their documentation proficiency and coders to ...