In Coding
Apr 1st, 2014
Accurate ICD-10 coding requires proper documentation and an understanding of clinical conditions. By Betty Hovey, CPC, CPC-H, CPB, CPMA, CPC-I, CPCD Coding acute conditions in ICD-10-CM can be tricky for a few reasons: For starters, the term “acute” has various meanings in the diagnosis code set. Second, there are timeframe factors to consider. And, third, ...
Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...
Feb 1st, 2011
Big changes to PQRI in 2011 put pay for performance in the spotlight. By Penny Osmon, BA, CPC, CPCI, CHC, PCS Updates to the Physician Quality Reporting Initiative (PQRI) signal that the shift from pay for reporting to pay-for-performance has begun. The 2011 Physician Fee Schedule final rule, issued Nov. 2, 2010 by the Centers ...
May 14th, 2010
The Joint Commission is seeking input from health care professionals involved with heart failure patient care to assist with developing requirements the agency will use to expand its Advanced Certification in Heart Failure program. The Joint Commission, in collaboration with the American Heart Association, is expanding this certification (Phase 2) to promote improved health outcomes for heart failu...
May 1st, 2010
By Laura Smith, CPC, CPC-I In 1997, Congress passed the Balanced Budget Act (BBA), which mandated risk adjustment methods to improve payment accuracy. Where previously CPT® codes drove payment, diagnosis codes and accurate documentation became the determining factors. As such, it became even more important for providers to sharpen their documentation proficiency and coders to ...