Part B Insider (Multispecialty) Coding Alert
In other news ...
PDF
Wondering how the new Recovery Audit Contractors plan to review -- and possibly deny -- your claims from afar? Now you have part of the answer. The RAC for 17 states, Las Vegas-based HealthDataInsights Inc., will use Milliman Care Guidelines content and software to review Medicare claims, Milliman says in a release. The Care Guidelines promote healthcare quality by providing clinical guidelines based on the best available clinical evidence, the Seattle-based company says. The company provides guidelines for seven topic areas including home care and chronic care. The Care Guidelines include quality measures and each guideline topic outlines key issues, and provides details on clinical interventions to improve patient outcomes, Milliman says.
Part B Insider (Multispecialty) Coding Alert
- CORRECT CODING INITIATIVE:
CCI Institutes Over 300,000 New Code Pair Edits
This round, CCI also creates a few welcome deletions. If you thought CCI versions after [...] - COMPLIANCE:
Find Out When the OIG Advisory Process Applies to Your Practice
Tip: Make request before implementing policies. You've most likely read about one or two of [...] - PQRI:
Cardiology Association Urges Physician Involvement for Successful PQRI Implementation
Plus: If your claim has a zero dollar charge, don't expect your PQRI bonus to [...] - CRITICAL CARE:
Follow This FAQ to Maximize 99291 Coding
Physician 'preventing further deterioration' keys valid critical care claims. What do critical care services need [...] - READER QUESTION:
Know How to Report Hospital Discharge After Consultation
Tip: Differentiate attending doc from referring. Question: A family practice physician admitted a patient for [...] - Part B Coding Coach:
Keep Your Scope Coding All in the Family to Avoid Errors
Are you missing out on hundreds? Now's the time to find out. Coding scope procedures, [...] - PHYSICIAN NOTES:
Take Note: CMS Issues Corrections to 2009 Physician Fee Schedule Final Rule
Plus: One RAC reveals information about how it will evaluate claims during its review process. [...] - In other news ...
Wondering how the new Recovery Audit Contractors plan to review -- and possibly deny -- your claims [...]