In Coding
Oct 7th, 2019
Don’t let insufficient documentation lead you astray. How many times has a provider asked you, “What do I need to document to get a 99215?” All too often, medical coders feel they should help their providers understand what elements of documentation are needed to warrant the higher level evaluation and management (E/M) service. Do not ...
In Coding
Jul 31st, 2019
Stop the downward flow of revenue by using accurate reporting and auditing of physician services. The cost of doing business keeps going up and payer reimbursement keeps going down. Your practice can’t afford to lose thousands of dollars through needless waste and inefficiencies. But if you’re using inaccurate or outdated medical coding practices, that’s exactly ...
Promote a compliant environment within your organization, before the whistle is blown. The most notable Medicare fraud cases in the last five years have been whistleblower cases in which someone with inside knowledge of a health system or physician practice (usually an employed physician or administrator) files suit against the employer under the federal False ...
Mar 19th, 2015
Robert S. Gold, MD, wrote a letter (Sepsis Letter) to Medical Classification Administrator Donna Pickett, MPH, RHIA, of National Center for Health Statistics explaining that when the 995.9x code set came out with directions for use, “the sequencing and the reporting in the Official Coding Guidelines for ICD-9-CM and in AHA’s Coding Clinic, the incidence of ...
Dec 20th, 2012
Personal injury cases can bring out the worst in people and even some physicians are getting in on the act. Jeremy Reimer, CPC, president of Medical Coding Litigation Services, recently published an article in the online newsletter for the International Association of Special Investigation Units (IASIU). Mr. Reimer discusses the coding violations he has seen unscrupulous ...