In Coding
Apr 6th, 2015
By Brenda Edwards, CPC,CPB, CPMA, CPC-I, CEMC, CRC I hope many of you were able to attend HEALTHCON in Las Vegas last week; what a whirlwind four days! Many excellent topics were covered, including coding, billing, auditing, compliance, practice management, and legal trends. I had the fortunate opportunity to present with Amy Bishard, a former ...
In Audit
Mar 16th, 2015
By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA In February, we examined how “labels” might cause an incorrect count of organ systems examined if an auditor doesn’t take care to read the details beyond the labels. For purposes of this discussion we will assume that the examination and complexity of MDM meet the proposed ...
In Billing
Mar 9th, 2015
Sometimes, at a scheduled preventive visit, the patient mentions a new or worsened condition. If the patient complaint requires additional workup, beyond that usually associated with the preventive service, you may choose to report a problem-focused visit in addition to the preventive service. The CPT® codebook instructs: If an abnormality is encountered or a preexisting ...
Aug 8th, 2014
Clear and comprehensive documentation is a critical element in getting claims paid. You hear that advice day in and day out. So what do you do when the provider is unable to obtain a critical component of documentation from a patient? The answer isn’t as tricky as you might think. When a provider is unable ...
Knowing the risks EHRs pose is the first step to improving E/M documentation. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CFPC, CIMC The use of electronic health records (EHRs) is steadily increasing, and so are the number of high-level evaluation and management (E/M) services being billed. These claims may very well be substantiated by documentation contained ...