Sep 16th, 2015
If you think a scam where orthopedic surgeries were performed by a physician assistant (PA) who never attended medical school is bad, wait until you hear the rest of the story. According to the Los Angeles County district attorney’s office, Munir Uwaydah, M.D., did not even oversee the PA’s surgery, yet he billed it as his work. The patients were told a board-certified orthopedic ...
Nov 1st, 2012
By Jaci Johnson CPC, CPMA, CEMC, CPC-H, CPC-I Whether performing an audit or providing education, when it comes to evaluation and management (E/M) coding, your first consideration should be accurate, compliant information and results. Choose Reliable Resources Our reliable resources are the Centers for Medicare & Medicaid Services (CMS) 1995 and 1997 Documentation Guidelines for ...
Sep 1st, 2011
When billing these services, be sure documentation abides by payer requirements and state and employer rules. By Sarah Todt, RN, CPC, CPMA, CEDC When you think of health care professionals, you generally think of physicians. It’s important, however, to be aware that other providers, such as non-physician practitioners (NPPs), also report services. These services may ...
Jul 1st, 2011
Know the specifics so you’ll be current with home health service requirements. By Christopher A. Parrella, JD, CHC, CPC, CPCO Effective April 1, the Centers for Medicare & Medicaid Services (CMS) implemented new face-to-face encounter requirements for home health services (MBPM30.5.1.1). This new rule requires the certifying physician document all face-to-face encounters conducted with patients...
May 1st, 2010
By Kerin Draak, MS, WHNP-BC, CPC, CEMC, COBGC Providers of long-term care services must comply with several different regulating criteria, and it is the coder’s responsibility to understand applicable rules when coding these unique services. In recent years, there have been extensive changes in the Nursing Facility Services section of the CPT® manual. Although this ...