In Coding
Apr 1st, 2019
Make quick and easy work of determining which procedures and services are bundled and when. Most coders, billers, and clinicians are familiar with the concept of the surgical package or global period; but they may be unclear about when the global period begins and ends, and which procedures and services may be reported (and paid ...
Sep 1st, 2014
In a few short months, new coding and payment regulations will take effect. Are you ready? By Barbara Aubry, RN, CPC, CHCQM, FAIHQ On July 3, 2014, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that will update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule ...
Apr 1st, 2013
By Melody S. Irvine, CPC, CPMA, CEMC, CFPC, CPC-I, CCS-P, CMRS As a physician auditor, I spend much of my time educating clinicians on proper documentation. This involves explaining and interpreting coding and compliance guidelines. When providing such guidance, the most common reply I hear from providers is, “I want it in writing.” An auditing ...
May 1st, 2010
By LuAnn Jenkins, CPMA, CPC, CEMC, CFPC In 1992, the “global surgery” concept was introduced under the Resource Based Relative Value Unit System (RBRVS) and payment policy. Medicare adopted this method to control costs and to pay providers based on the value of services provided before, during, and after surgical procedures. Many commercial payers also ...
Apr 1st, 2010
By Peggy Stilley, CPC, CPC-I, COBGC, ACS-OB Are you new to obstetrics and gynecology (OB/GYN) coding? Do you wish you knew some helpful tidbits to ease daunting coding tasks? The following are scenarios most-commonly asked about by attendees during question-and-answer sessions while teaching OB/GYN. These “real world” examples can help you tackle day-to-day coding challenges ...