Oct 1st, 2014
Vague documentation will lead to questions, errors, and ultimately claim denials. By Patricia A. Smith, RHIT, CPC Implementation of ICD-10 is inevitable. The delay to October 1, 2015 should not deter education and training. ICD-10 code sets are far more specific than those in ICD-9-CM, making comprehensive documentation necessary to capture correct diagnoses. Documentation describes why ...
Mar 26th, 2013
By Catrena Smith, CPC, CCS, CCS-P, PCS, HIT PRO-PW Information in the American Hospital Association’s (AHA) Coding Clinic, Second Quarter 2011, confirmed that the principal procedure concept is valid for coding and reporting purposes. This left many hospital coders with questions regarding principal procedures, and how to ensure the most appropriate procedure is reported in ...
Dec 1st, 2012
By Amy Lee Smith, MBA, CPC, CPC-H, CPMA, CIA, CRMA  Preparing for, and responding to, recovery audit contractor (RAC) reviews can be intimidating. You can lessen the pain, however, by understanding Medicare billing and coding rules and requirements, and being proactive in implementing controls to ensure compliance. RACs Review Across the Nation Section 302 of ...
Dec 1st, 2012
By Catrena Smith, CPC, CCS, CCS-P, and Elizabeth Giustina, CCS-P  A common misconception is that hospital coding is synonymous with inpatient coding, but hospitals provide many services in addition to inpatient care. Hospital coders may find themselves coding for different settings, such as the facility’s outpatient clinics, emergency department (ED), urgent care center, ambulatory surgery ...
May 1st, 2010
By Laura Smith, CPC, CPC-I In 1997, Congress passed the Balanced Budget Act (BBA), which mandated risk adjustment methods to improve payment accuracy. Where previously CPT® codes drove payment, diagnosis codes and accurate documentation became the determining factors. As such, it became even more important for providers to sharpen their documentation proficiency and coders to ...