Jun 1st, 2008
Brad Ericson, CPC, CPC-ORTHO Once a patient is evaluated by a physical therapist (PT), reporting outpatient therapy can become sticky. The reason is twofold: PT modality coding is largely based on 15 minute units, and a patient might receive a mix and match of massage, gait training, and myofascial release in the same hour, The ...
Jun 1st, 2008
Brad Ericson, CPC, CPC-ORTHO A new federal auditing program is coming to city near you. The Recovery Audit Contractor (RAC) program, created in 2004 through the Medicare Modernization Act (MMA) to safeguard the Medicare Trust Fund, identifies Medicare and Medicaid overpayments and requests repayments from facilities, physician practices, and DME providers. A demonstration project begun ...
Jun 1st, 2008
by Jean Acevedo, LHRM, CPC, CHC Just when you thought you’d understood and implemented the Medicare Physician Fee Schedule (MPFS) and HCPCS Level II updates from late last year, they’ve changed again. These updates occur each year as the Centers for Medicare and Medicaid Services (CMS) issues technical directives to its contractors to ensure contractors ...
Jun 1st, 2008
in January to the Work of a Coder survey. It revealed some surprising results, further defining us as a profession and helping to debunk some stereotypes. The survey, made available online through a Web link, was open to responses for six weeks. It garnered 12,068 respondents, of which 93.5 percent were professional coders certified through ...
Jun 1st, 2008
by Jonnie Massey, AHFI, CPC, CPC-P, CPC-I When a service is provided to a patient with insurance, it should be paid for, right? That’s what we as patients, providers, or consumers like to believe—if it were only that simple. Generally speaking, when services are provided, one expects compensation. This may not be the case, if ...