Jan 1st, 2012
Follow the OIG’s lead to ensure Medicare compliance in your office. Arguably, there has never been a more tumultuous time to be a coder or a practice manager. You are dealing not only with the daily tasks of a busy and multifaceted physician organization, but also many new and upcoming issues, such as: Version 5010 ...
Jan 1st, 2012
Overall CMS estimates an increase with an emphasis on quality reporting. By Denise Williams, RN, CPC-H In the 2012 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) bases payments on claims data submitted by hospital providers during 2010. CMS estimates that payments under the OPPS will increase overall ...
Jan 1st, 2012
Determine, target, and fix your system’s areas of greatest concern. by Pam Brooks, CPC, PCS On Oct. 1, 2013, all diagnosis codes will be reported with a new format: ICD-10. By this time next year, you should be able to demonstrate with confidence that your billing system is capable of transmitting and receiving ICD-10 codes in ...
Jan 1st, 2012
Cookbook medicine may be a recipe for coding disaster. Recently, I was asked to review the medical records of two patients involved in a motor vehicle accident. The patients were taken to a hospital practicing evidence-based medicine (EBM). Dr. David Sackett, an early proponent of EBM, has defined it as “the conscientious, explicit, and judicious ...
Jan 1st, 2012
Standardizing claims statewide is good news for coders. The Medical Clean Claims Transparency and Uniformity Act (House Bill 10-1332) was signed by Colorado’s Governor Bill Ritter May 12, 2010. The bill requires the executive director of the Colorado Department of Health Care Policy and Financing (HCPF) “to convene a task force of industry and government ...