Jul 11th, 2014
Stroke and brain injury patients in New Mexico will benefit from expansion of a unique telemedicine network from 11 to 30 hospitals. The three-year, $15.1 million grant funding the project is part of the Centers for Medicare & Medicaid Services’ Health Care Innovation awards. The joint project of the University of New Mexico Health Sciences ...
In Coding
Apr 1st, 2014
Secure payment for transitional care management by documenting all of the required elements. By Wendy Grant, CPC The purpose of transitional care management (TCM) services is to improve care coordination between inpatient and primary care settings, with the ultimate goal of reducing hospital readmissions. Last year, two CPT® codes were created to facilitate reporting of ...
Oct 1st, 2012
By Wendy Grant, CPC There is no quick way to code an operative (op) report. You must read and reread—think dissection—to be sure your coding reflects all the procedures and diagnoses performed. Code from the Body of the Report To code only the “preoperative diagnosis, postoperative diagnosis, and operation performed,” listed at the beginning of ...
Aug 1st, 2011
With appropriate research and communication, you can uncover the problem and overturn the denial. By Wendy Grant, CPC Claims adjustments—not contractual adjustments when billed fees are over the payer’s allowable, rather the adjustments that occur when entire services are disallowed—are a primary concern for all providers. Physicians provide services to their patients expecting in good ...
Aug 13th, 2010
The U.S. Department of Health and Human Services (HHS) announced July 29 that states may now apply for their share of $51 million in grant money to establish health insurance exchanges (HIEs). HHS also is requesting public comment as the agency develops the rules and standards HIEs should be required to meet. HHS Offers States $51 ...