Laureen shows you her proprietary “Bubbling and Highlighting Technique”
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After learning that the public health emergency (PHE) for COVID-19 was to end May 11, the healthcare industry wondered what telehealth services would remain covered. What regulations under the Consolidated Appropriations Act, 2023 (CAA) would extend coverage? Which provisions in the Medicare Physician Fee Schedule Final Rule be enforced? And which of the Centers for […]
The post Telehealth Services After the PHE: Part 2 appeared first on AAPC Knowledge Center.
Retroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now available are the July ASP and Not Otherwise Classified (NOC) pricing files and the ASP NDC HCPCS […]
The post CMS Updates Medicare Part B Drug Prices appeared first on AAPC Knowledge Center.
Part three: Learn the ins and outs of remittance processing, denials, and patient collections. Successful and efficient revenue cycle management (RCM) is key for all healthcare organizations, both large and small, to keep their doors open and continue to provide service to patients. In this three-part series, we broke down RCM into various components and […]
The post Simplify the Revenue Cycle Management Process: Part 3 appeared first on AAPC Knowledge Center.
Are you working off the latest list of codes applicable for modifier CS? During the public health emergency (PHE) for COVID-19, patients’ Medicare Part B cost sharing (coinsurance and deductible) is waived for certain healthcare services. The Centers for Medicare & Medicaid Services (CMS) maintains a list of codes to which the cost-sharing waiver applies, […]
The post CMS Waives Part B Cost Sharing for More Services appeared first on AAPC Knowledge Center.
Develop a plan to transition to and implement ICD-11.
The post ICD’s Continued Evolution and Impending Transition to ICD-11: Part 2 appeared first on AAPC Knowledge Center.
A psychiatrist double, triple and even quadruple overbooked patients at his Virginia Beach practices so as to over bill insurance firms by over $ 460,000, per court documents. Udaya Shetty, of behavioral & medicine group and a lot of recently Quietly Radiant Psychiatric Services, pleaded guilty Wednesday to at least one count of health care fraud. The Virginia Beach resident is ready to be sentenced January 16th in U.S. District Court in Norfolk.
Click Here to Read the Full Story!
The post Virginia Beach Psychiatrist Grossly Over-booked Patients as Part of Fraud appeared first on The Coding Network.
Documentation:
"due to the pull of the brachioradialis , it was not possible to reduce the fracture. Therefore, a brachioradialis tenotomy was performed.", or
" brachioradialis tenotomy was performed in a subperiosteal fashion to allow radial styloid manipulation"
Although there are no bundling edits on these codes, it is my feeling that this is would be part of the ORIF approach, and not separately reportable.
Am I right in saying this?
I am a graduate of the Advanced Medical Coding program at Madison College and have my CPC-a license.
I am also enrolled in AAPC’s online internship Practicode.
I am seeking a position to get me back into the world of healthcare after taking a few years off to raise my family.
Hopefully my resume attached correctly, if it’s not viewable please email me and I can send it on to you.
I’ve also copied it below for viewing.
I look forward to hearing from you.
Sincerely,
Katie Reynolds
[email protected]
Katie Reynolds
Dear Madam or Sir,
I am a graduate of the Medical Coding Specialist program at Madison College and went on to continue my education in the Advanced courses offered in Medical Coding. I am currently enrolled in the online internship Practicode with the American Academy of Professional Coders. This internship has served as a great refresher on coding while Ive been staying home to raise my children for the past few years. Ive also stayed busy with volunteer work during this time.
I have eight years of insurance and office experience, seven of which were with Government contracts for TRICARE, TRICARE For Life, working with Veterans and coordinating benefits with Medicare, Medicaid and private insurers. This experience, along with my education in medical coding, in addition to my experience with claim adjustments, offsets and reimbursement on medical claims, general office duties, prove that I am an ideal candidate. My experience in addressing billing issues, coding complications, error checking, breakdown of billing, working with different departments and staff, organizing charts and appointments all showcase a high attention to detail in everything that I do.
I look forward to hearing from you.
Sincerely,
Katie Reynolds
CPC-a
[email protected]
608-772-1556
Enclosure: resume
Katie Reynolds
Objective
To obtain a position where my education as a Medical Coder and my background in work experience can be utilized
Education
Madison College Madison, Wisconsin August 2006 December 2010
Medical Coding Specialist – Graduated December 2009
Advanced Medical Coding Specialist Graduated December 2010
ICD-10 Code Set Training June 2015
AAPC online internship Practicode October 2018 – Current
Special awards: National Honor Society Member, Phi Theta Kappa chapter
Work Experience
Department of Veterans Affairs, NCCPAC Middleton, Wisconsin February 2010 October 2011 Financial Administrative Assistant; Medical, then Pharmacy- Full time, 40+hours/weekly
Entered data, CPT and ICD-9 codes into electronic claims system
Billed electronic medical and pharmacy claims to private insurance payors
Follow-up on late payments
UW Health, Gastroenterology Madison, Wisconsin
Scheduler- Full Time January 2009 February 2010
Using the EPIC system, accessed patient charts, scheduled gastroenterology services
Reviewed surgery reports, communicated with physicians and clinical staff on follow-up care
Made and received phone calls, directed to proper departments
Reviewed surgery preparations with patients, filled prescriptions (under direction of physician)
General office duties filing, faxing, paperwork
Greater Insurance Service, Inc. – Madison, Wisconsin
Life and Health Support Specialist- Full time, 40+hours/weekly February 2008 – January 2009
Worked with insurance companies to coordinate benefits and follow up on claims
Expedited benefits information for customers and insurance companies
Answered busy, 10-line switchboard telephone in addition to personal lines
Managed house accounts, improved response time and established higher overall customer satisfaction
Provided customized support to more than 30 agents with specialized spreadsheets, streamlined presentations and insurance quotes
Involved in benefit fairs around Wisconsin, educating individuals on health insurance and benefits
Wisconsin Physicians Service – Madison, Wisconsin
Customer Service/Insurance Advisor- Full time, 40+hours/weekly October 2002 – February 2008
Specialized in TRICARE, TRICARE For Life support; gave information on claims, billing and breakdown of billing of medical procedures
Initiated procedures to correct overbilled or questionable claims
Sent underpaid claims through for adjustments, reviewed claims for overpayment, scrubbed new claims, reprocessed incorrectly denied claims
Represented part of an analytical thinking group that specialized in maintaining changing governmental standards for the industry
Involved in special projects designed to streamline company procedures. Reduced paperwork and helped launch more efficient ways of getting things done
Supported the training of new employees on company procedures and trained peers on how to improve quality and efficiency
Resolved customer/beneficiary complaints with fast thinking and informed decisions
ISO-9000 certification
– Supervisors: Rani Connelly, Janet Reddick
Computer Skills
Microsoft Windows 2003 and 2007: Word, Excel, Power Point, and Outlook. Epic and WISCR-IT knowledge.
Volunteer Work
Served on the board at local AAPC chapter as Educational Officer in 2013 and various committees over the past few years
Assisted my former Madison College instructor with prepping exam information for new medical coding students
Computer lab assistant at local elementary school
Weekly Volunteer at 4- year-old Kindergarten (2015-2016)
Classroom volunteer at local elementary school
AWANA co-leader at local church
LOGOS co-leader at local church