In Coding
Jan 1st, 2010
See what’s in store for the year ahead. By Denise Williams, RN, CPC-H For the 2010 Outpatient Prospective Payment System (OPPS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) based payments on claims data submitted by hospital providers during 2008. Here are some highlights of the 1,936-page document to prepare you for the ...
In Billing
Jan 1st, 2010
When clinically accurate documentation is achieved, everything else falls into place. By Nancy Reading, RN, BS, CPC, CPC-I In the past several years, health information managers have seen the introduction of new measurements and indicators that affect inpatient coding. Huge changes to Diagnosis Related Grouper (DRG) calculations, present on admission (POA) indicators, and quality measures ...
In Audit
Jan 1st, 2010
Budget cuts in education and compliance programs may be penny wise but dollar foolish. Under the False Claims Act (FCA), a health care facility or entity may be held liable for the conduct of its individual employees, or even the conduct of other entities with which it contracts or associates. This holds true even where ...
In Coding
Jan 1st, 2010
Physician office and hospital coding are sometimes two different worlds. By Dorothy Steed, CPC-H, CHCC, CPC-I, CPUM, CPUR, CPHM, CCS-P, CEMC, CFPC, ACS-OP, RCC, RMC, PCS, FCS, CPAR When physician coders/billers transition to a hospital environment, they frequently encounter difficulty without a clear understanding as to why. Hospital managers have positions to fill, but the ...
In Billing
Jan 1st, 2010
This experienced entrepreneur steps you through the process. By Melody S. Irvine, CPC, CEMC, CPC-I, CCS-P, CPMA, CMRS Several years ago, I decided to start my own business. When I put my mind to something, there’s no stopping me. How hard could it be? I thought it would be a piece of cake. I was ...