Part B Insider (Multispecialty) Coding Alert
Let This Self-Audit Checklist Be Your Guide
PDF
Consider 9 criteria when you sit down with your audit materials
If you don't know quite where to begin when you perform your first self-audit, keep this handy reference as a guide to remind you what types of questions you should be asking yourself. For each chart, make sure you can answer the following questions and you-ll know you-ve done a thorough job:
- Does the documentation support the level of service billed?
- Does the documentation support the CPT and/or HCPCS codes billed?
- If the physician coded a consult, does documentation of a request from a third party exist in the chart? Does the chart contain a written consult report back to the third party?
- Did the physician use modifiers correctly?
- Does the documentation support the ICD-9 codes the practice reported?
- Did the physicians sign and date all entries?
- Is the chart legible?
- Is the name and identification number of the patient and provider on each page of the medical record and claim form?
- Does the patient identification sheet include completed biographical data, including the patient's address, employer, home and work telephone numbers, and marital status?
Part B Insider (Multispecialty) Coding Alert
- REIMBURSEMENT:
Fight Against 5.1 Percent Cut Begins With Time Already Running Out
Physician spending grew much less quickly than expected
There's no time to lose to save Medicare [...] - ORTHOPEDICS:
Say Goodbye To 50-Percent Pay Cut For G0289
Medicare changes multiple procedure indicator for arthroscopyYou can look forward to $48 more in reimbursement [...] - PE-RVU Changes Could Cut Major Procedures By 10 Percent
If the Centers for Medicare & Medicaid Services goes ahead with plans to change how [...] - REIMBURSEMENT:
Can A Lame Duck Save You From The Chopping Block?
Congress considers plan that would keep 5-percent cuts for some doctors
Forget pay-for-performance. One new plan [...] - AUDITS:
Don't Start Auditing Your E/M Visits Without A Baseline
Follow up with problem doctors every few months
Sometimes you can have a problem with your [...] - DERMATOLOGY:
Getting Paid For Simple Repairs Isn't Always Simple
Don't give up on reimbursement for G0168
Sometimes the carriers move in mysterious ways--and you have [...] - Part B Coding Coach:
Don't Miss This Chance to Improve Your Practice's Coding Accuracy
Self-audits are well worth the time, experts say
Although some coders believe that self-audits are only [...] - Clip and Save:
Let This Self-Audit Checklist Be Your Guide
Consider 9 criteria when you sit down with your audit materials
If [...] - PHYSICIAN NOTES:
Radiologists, Beware--CMS Is Looking For Double Billings
Utah Court Takes Managed Care Antitrust Claim With A Grain Of Salt
Radiology providers billed Medicare [...]