Jul 1st, 2011
By Linda R. Farrington, CPC, CPC-I A thorough understanding of modifiers is essential to accurate coding and reimbursement. To illustrate this, let’s look at a few examples of how common surgical modifiers are used. Example 1: A patient is admitted to the hospital on Monday and undergoes right carotid endarterectomy. A left endarterectomy is planned ...
Feb 1st, 2011
By Charla Prillaman, CPC, CPMC, CPC-I, CCC, CEMC, CHCO The number and scope of external auditing agencies pursuing improper payments are increasing significantly, making medical record auditing more important than ever. If you think your practice is exempt, consider this: The “Improper Medicare Fee-For-Service Payments Report: November 2009,” revealed that 7.8 percent of Medicare dollars ...
May 1st, 2008
by Jessica Edmiston, BS, CPC For years, many of the larger carriers have used a policy called “matching.” Matching is when you code a facility claim accurately according to the documentation, submit the claim; and, if your claim arrives before the professional claim, it is kicked into pending status for the carrier to verify that ...