In Audit
Mar 7th, 2018
A federal jury found a 78-year-old Biloxi, Mississippi physician guilty for his role in a $3 million pharmacy fraud scheme, which included military healthcare funds. According to the Department of Justice (DOJ) press release on March 5, the 78-year-old physician, Albert Diaz, was convicted of: One count of conspiracy to commit healthcare fraud; Four counts of distributing ...
A focused effort on negotiating payer contracts can create much-needed money for any practice, and coders are uniquely qualified to facilitate these negotiations. This month, I’ll provide an overview of the contract negotiation process. In future months, we’ll discuss each step in greater detail to help you level the playing field with insurance companies. Ask ...
By Michelle A. Dick Coding Edge asked military health experts to provide insight into the military health system (MHS) and coding. Here’s what they had to say: How does the MHS work? MHS is federally managed medicine for active duty members and their families. According to U.S. Air Force Lt. Col. (Retired) Jeanne Yoder, CPC, ...
In Billing
Feb 10th, 2012
The Medical Group Management Association (MGMA) urged the U.S. Department of Health & Human Services (HHS) Feb. 1 to alleviate payment disruptions resulting from the recent implementation of the 5010 documentation standard. The group asked for the delay of enforcement penalties, already delayed to March 31, to be extended an additional three months to June 30. MGMA ...
Feb 1st, 2011
Both new and seasoned coders should know the many risk areas in anesthesia coding By Kelly Dennis, MBA, CPC, CPC-I, CANPC, CHCA, ACS-AN The American Medical Association’s (AMA’s) 2011 CPT® codebook was released without anesthesia-related code changes for this coming year. Because there are no changes to consider, it’s a good time to review both ...