Apr 1st, 2010
By Stephen C. Spain, MD, FAAFP, CPC, and Kathy Rowland, CPC, CEMC, MCS-P The growing acceptance of electronic medical records (EMRs) continues to affect auditing services in new and significant ways. The number of our clients who use EMRs is on the rise, and recently we’ve encountered groups who increasingly rely on computerized selection of ...
Apr 1st, 2010
By Michael D. Miscoe, JD, CPC, CASCC, CUC, CHCC, CRA Those unfamiliar with chiropractic coding often assume there’s not much to it. The chiropractic scope of practice varies from state to state, and in many states is quite broad. The chiropractic coder must be knowledgeable about evaluation and management (E/M), electro-diagnostic, radiology, musculoskeletal diagnostic, physical ...
In Coding
Feb 1st, 2010
When time captures reimbursement, every minute counts. By G. John Verhovshek, MA, CPC As CPT® evaluation and management (E/M) service guidelines explain, “When counseling and/or coordination of care dominates … the physician/patient and/or family encounter … time may be considered the key or controlling factor to qualify for a particular level of E/M services.” Specifically, ...
In CMS
Jan 29th, 2010
National Government Services — the Part B Medicare Administrative Contractor (MAC) for jurisdiction 13 (Connecticut, Indiana, Kentucky and New York) — is implementing a prepay edit for a particular Nursing Facility Visits CPT® code due to recent service specific prepay audit results conducted by its medical review department. NGS Implements Prepay Edit for 99310 was last modified: July ...
In Coding
Mar 1st, 2009
From A-scans to YAG. By Kim Ross, CPC, OCS, and Sue Vicchrilli, COT, OCS Remember the pirate’s often-lost wooden eye in “Pirates of the Caribbean?” Or Tom Cruises’ eye transplant in “Minority Report?” Movies showing eye injuries intrigue us. Although it is a challenge to code these incidents, an even greater challenge is correctly coding ...