In Billing
Oct 17th, 2014
CPT® 2015 includes nearly 550 new, changed, and deleted codes, as well as added and revised guidelines, parenthetical comments, and terminology. The changes will especially affect family practice, internal medicine, cardiovascular, gastrology, pathology/laboratory, and radiology. Seven changes affect the evaluation and management (E/M) section; E/M services represent the most often reported codes ...
Dec 1st, 2012
By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC and G.J. Verhovshek, MA, CPC The practice of medicine constantly evolves. Established roads change direction. Familiar landmarks disappear, and new paths emerge. Even those who know the lay of the land can feel lost in an ever-shifting terrain of technologies, methods, and standards of care. To keep ...
In Audit
Oct 1st, 2010
The Centers for Medicare & Medicaid Services (CMS) recently released two special edition MLN Matters articles that disseminate high dollar improper payment and coding vulnerabilities identified during the Recovery Audit Contractor (RAC) demonstration. With the expansion of the RAC program and the initiation of complex medical necessity review in all four RAC regions, inpatient hospitals ...