Mar 20th, 2013
By Brandi Tadlock, CPC, CPC-P, CPMA, CPCO To ensure high quality patient care and proper reimbursement, and to help protect you from audits, evaluation and management (E/M) documentation must meet or exceed complex requirements for every encounter. When it comes to determining medical necessity—the overarching criterion for payment—for E/M services, one area of provider documentation ...
Feb 1st, 2013
Although it’s usually coding taboo, at times, it’s proper for legitimate recoupment. By G.J. Verhovshek, MA, CPC In the coding world, the term “double dip” has two meanings (neither of which has anything to do with dining etiquette). You might think it’s never OK to double dip, but in some circumstances, you definitely should—or risk ...
In Audit
Dec 14th, 2012
By Pam Brooks, CPC, CPC-H The same features that make an electronic health record (EHR) easy to use, such as pre-filled templates, automatic code drop, and pre-determined diagnosis codes,  are the very things causing compliance problems. Think of the EHR as a tool that has to be sharpened and honed. It’s very effective if used ...
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 ...
Nov 1st, 2012
By Angela Jordan, CPC  The key to successful electronic health record (EHR) implementation is not only selecting the right system, but ensuring you have the right people involved in the process from day one. The team should be comprised of one member from each area of the practice to represent all who ultimately must use ...