Thank you,
Lisa
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Notes
Modifiers and progress notes
Our office has always updated progress notes to match any time a modifier was added to a claim, but we have talked to a few other offices who have said that auditors do not care about whether the modifiers on the claim, are also reflected on the progress notes. They only care whether the services & documentation support the use of a modifier. Can anyone confirm whether or not if a modifier is added to a claim, it also needs to be added back to the note?
Thank you!
Use ICD-10-CM Excludes Notes to Improve Coding
Excludes 1 and 2 notes often hold the key to preventing claims denials. There are two type of excludes notes in the ICD-10-CM classification system: Excludes 1 and Excludes 2. Medical coders need to understand the meaning of these notes because they are integral to correct coding, and payers are beginning to deny claims based […]
The post Use ICD-10-CM Excludes Notes to Improve Coding appeared first on AAPC Knowledge Center.
Progress Notes
Diagnosis on signed order and not documented in provider notes
Exclude 1 notes N85 series can’t be coded together with N86
Need some help to find why, N85.00 can’t be coded with N86. There is an exclude 1 note in the ICD 10 guidelines; however, while informing our doctors they want to know the reason. Our OB saying, these two conditions doesn’t have any relation, then why we can’t code together.:confused:
highly appreciate your help in this regards,
Thanks a lot
Sherin
Audit Risk When 1 Dx Code is Listed on Claim When Multiple Exist in Notes?
Thank you for any assistance provided!
Annette Vesey, CPC-A
Provider treated patients- did not complete notes and relocated
Repetitive notes
I have several Provider’s whose notes are obviously a copy and paste. This is a grave concern for me, when auditing their coding, because the notes are never customized to fit the current visit. From the consultation or IE, and every F/U visit, the wording doesn’t change, so when I’m checking to see if they’re meeting the required elements for the level of service billed, it’s all incorrect. How do I get them to document exactly what was done with the patient on any given visit?
Thanks
Physician delegates to sign off their charts notes
Since our physicians are so busy they suggested that we assign delegates to sign off their charts notes. The CMS guidelines for signature requirements does not really mentioned delegates, is this even legal to assign someone to sign off their chart notes? I do not really agree with their suggestions but if there are guidelines out there that I do not know please share them with me.
Thank you in advance
Josephine