In Billing
Feb 8th, 2019
Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The ...
Clinical Documentation Improvement Specialist and PMCC Instructor Tell us a little bit about how you got into coding, what you’ve done during your coding career, and where you work now. In 1999, I enrolled in a medical reimbursement program at the local community college in Charlotte, N.C. After completing this program, I immediately received a ...
In Coding
Feb 5th, 2019
Compare coding and billing for FQHCs to that of provider- and facility-based organizations. Federally qualified health centers (FQHCs) account for less than 10 percent of designated organizations, but as coding professionals we should understand the differences between FQHCs and physician- or facility-based organizations. Note: Medicare, Medicaid, and commercial carriers do not all process FQHC cla...
Ensure a smooth billing transition and unaffected revenue by preparing clinicians for yearly coding updates. Finding out what the annual code changes are is the easy part. CPT® updates typically are announced several months before they become effective. For example, the 2019 CPT® code book was available to purchase in early November 2018, and AAPC ...
In Coding
Feb 5th, 2019
Medicare policy changes require physicians and coders to rethink billing practices for TKA patients. Recent years have brought important changes in the performance and reporting of total knee arthroplasty (TKA). The Centers for Medicare & Medicaid Services (CMS) has played a key role with the April 1, 2016, launch of the Comprehensive Joint Replacement (CJR) ...