In Coding
Aug 9th, 2018
Improve your claims payment success rate by understanding bundling and add-on code rules. Electrophysiology studies and arrhythmia ablation can be tricky to report due to the number of bundled and add-on codes. Here’s a step-by-step approach to coding these medical procedures with confidence. The Value of EP Studies Electrophysiology (EP) studies are used to both diagnose ...
In Audit
Aug 9th, 2018
Create a policy that addresses gray areas, optimizes results, and refines documentation. Performing internal provider documentation audits with follow-up education is a very important piece of a corporate compliance plan. The goal is to improve compliance with healthcare regulations, but the process also shows providers you are a valuable resource and improves the coder/provider relationship ...
In Coding
Aug 9th, 2018
From ICD-10-CM to CPT® to HCPCS Level II, capture correct codes in your CLL claims. Chronic lymphocytic leukemia (CLL), reported using ICD-10-CM code C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission, is the most common type of adult leukemia in the western world. Here’s what you should know to properly code the ...
In Billing
Jul 26th, 2018
The long-awaited 2019 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule, released July 25, sets the wheels in motion for significant reforms in the way Medicare will pay providers in hospital outpatient settings. The Centers for Medicare & Medicaid Services (CMS) is moving toward site-neutral payments for clinic visits, which will save ...
Look to ICD-10-CM encounter codes when the testing is preventive, not diagnostic. ICD-10-CM diagnosis codes support medical necessity by identifying the reason for the patient encounter, which may include an acute injury or illness, a chronic health condition, or signs and symptoms (e.g., pain, cough, shortness of breath, etc.) that warrants further investigation. When a ...