In Audit
Nov 1st, 2018
By law, the Administrative Law Judge level of Appeals has 90 days to resolve appeals submitted to the ALJ level.  However, the Department of Health and Human Services (HHS) Office of Hearings and Appeals (OMHA) has been unable to keep up with the number of appeals submitted to them which has lead to a huge ...
In Billing
Oct 11th, 2018
Valid claims submitted by physical therapists (PTs) in private practice are being denied by some Part B Medicare Administrative Contractors (MACs), according to the Centers for Medicare & Medicaid Services (CMS). These claims are for the professional component (PC) or global code for certain diagnostic services involving electromyography (EMG), nerve conduction velocity (NCV), and sensory-evok...
In Audit
Jul 10th, 2018
Credentials open many doors to career opportunities. Which one will you enter? AAPC provides training and examination for every certification you could ever need to work in the business of healthcare. If you are new to the business of healthcare, you may not know which certification will help you to achieve your dream job. You ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
In Billing
May 25th, 2018
Spondylolisthesis is a perfect example of why ICD-10 requires improved clinical documentation. In ICD-9, Acquired spondylolisthesis was reported with one code, 738.4. In ICD-10, there are 14 codes: M43.00 Spondylolysis, site unspecified M43.04 Spondylolysis, thoracic region M43.05 Spondylolysis, thoracolumbar region M43.06 Spondylolysis, lumbar region M43.07 Spondylolysis, lumbosacral region ...