Physiology is the key to better diagnosis coding. By Nancy Reading, RN, BS, CPC, CPC-P, CPC-I The renal system consists of two kidneys (each of which usually has an adrenal gland perched on top), two ureters, a bladder, and a urethra. This article focuses on renal failure and the physiology behind code selection. Etiology Renal ...
Mar 20th, 2013
By Carol Olson, CPC, CPC-H, CPC-I, CEMC, CCS, CCS-P, CCDS Medicare Advantage (MA) reimbursement can trip you up in ways you didn’t expect. If you are seeing MA patients, be mindful of opportunities and pitfalls. MA health plans are reimbursed based on beneficiaries’ chronic conditions. Submitting an inaccurate diagnosis, or a diagnosis resulting in a different ...
In Audit
Jun 1st, 2012
The next ICD-9-CM update will be effective Oct. 1. It’s been a year since the last update (there were no updates on April 1)—and if you blinked, you would miss this one. “One” being the operative word, as the 2013 final addenda to Volume 3 adds just one new code. In the tabular section, add ...
By now we’ve all heard about the changes ICD-10 will make in the industry, including making the leap from 14,000 codes to 69,000. AAPC’s ICD-10 VP of education and training, Rhonda Buckholtz, CPC, CPMA, CPC-I was recently interviewed for an ICD-10 article in Renal & Urology News. With all the news around ICD-10 centered on ...
In Billing
Sep 10th, 2010
The new End Stage Renal Disease Prospective Payment System (ESRD PPS), effective Jan. 1, 2011, means major billing and payment changes for physicians, providers, and suppliers who provide ESRD services to Medicare beneficiaries. A physician education article, issued by the Centers for Medicare & Medicaid Services (CMS) Aug. 20, serves to answer the many questions ...