Part B Insider (Multispecialty) Coding Alert
In other news...
PDF
If you think coding to the highest level of specificity only applies to outpatient claims, you're way off. NGS Medicare, a payer in 20 states, recently released the results of its Comprehensive Error Rate Testing (CERT) analysis, revealing that "providers are not coding the principal diagnosis to the highest level of specificity and/or selecting the most appropriate code for the inpatient services." The peril of miscoding diagnoses in the hospital is that the facility consequently collects overpayments or underpayments for its services. "Coders should review the complete medical record for the appropriate principal diagnosis, the condition known to have caused the admission once all pertinent diagnostic testing is complete," the report indicates. To read the complete notification, visit www.ngsmedicare.com/content.aspx?CatID=2&DOCID=22288.
Part B Insider (Multispecialty) Coding Alert
- Electronic Health Records:
CMS Nails Down EHR 'Meaningful Use' Requirements
You could benefit from incentive bonuses by next year.Your practice could be edging ever closer [...] - Compliance:
Physician-Owned Business Settles Stark and Anti-Kickback Allegations for Over $7 Million
Plus: Stark under-arrangement law changes may alter how you can do business.Trading cash payments for [...] - Recovery Audit Contractors:
RACs ID Insufficient Documentation As Weakness Among Practices
Stay on top of RAC requests so you're able to meet all request deadlines.Recovery audit [...] - Medicare payment:
CMS Reps Outline Impact of PPACA on 2011 Fee Schedule
Plus: Medicare enrollment Web site adds additional resource files.The ink is barely dry on the [...] - Reader Questions:
I&D Area Can Deflate 10060 Option
Question: Our physician performed a level-four E/M service in the emergency department for a patient [...] - Reader Questions:
Severe Asthma Control Depends on Who Administered Services
Question: I'm looking at notes from my anesthesiologist for an encounter with a patient with [...] - Reader Questions:
Multiple Procedures Across Multiple Spinal Levels
Question: During an operative session, my neurosurgeon performed the following procedures: L4-L5 diskectomy, L5-S1 diskectomy, [...] - Reader Questions:
Use This Critical Info to Key to TP E/Ms
Question: One of our physicians and a resident performed a levelthree emergency room E/M service [...] - Physician Notes:
CMS Clarifies Substance Abuse G Code Guidance
CMS Clarifies Substance Abuse G Code GuidancePractices providing alcohol and substance abuse structured assessment and [...] - In other news...
If you think coding to the highest level of specificity only applies to outpatient claims, [...]