In Audit
May 17th, 2018
There has been a lot of focus recently on large fraud schemes uncovered by the government and many are wondering how this affects “me.” By Evelyn Kim, MBA, CFE, CPC, CPMA, CRC, AAPC Fellow Healthcare fraud is a thriving enterprise in the United States. The latest statistics from the Centers for Medicare & Medicaid Services ...
In Billing
Mar 6th, 2018
Mammography coding for screening mammography furnished to Medicare patients is changed in 2018. The Centers for Medicare & Medicaid Services (CMS) now recognizes three CPT codes, added in 2017. G Codes Out, CPT Codes In Effective for services rendered on or after Jan. 1, 2018, you will no longer use HCPCS Level II codes G0202, G0204, ...
Know what factors into determining the 7th character. By Emoy Goodridge, MEd, BS, CBCS, CEHRS, CPC, COC, CPMA, CRC, CPC-I, AAPC Fellow Trimester, gestations, and fetal complication identification can be a real pain in ICD-10-CM. A quick search provides various breakdowns of maternity trimesters, reflecting 12, 13, as well as 14 weeks. According to the ...
In ICD-10
Apr 11th, 2014
New coding concepts for Obstetrics include more specific codes to identify the trimester for complications of pregnancy, the weeks of gestation, and provides a 7th character option to identify a fetus when the care of the mother is altered during the pregnancy.  Chapter 15 for pregnancy, childbirth, and the puerperium are reported with codes O00 ...
When it comes to meeting “first dollar coverage” requirements using CPT®, the two are at odds. By Kenneth D. Beckman, MD, MBA, CPC, CPC-P, CPC-H, CPE The Affordable Care Act (ACA), or Obamacare, includes a list of services that payers are required to cover without a deductible or co-pay—what is commonly referred to as “first ...