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From the womb to adulthood, know the statistics, treatment, and medical coding associated with these birth defects. Cardiac patients are generally thought to be older adults being seen for cardiovascular disease, angina, heart attack, or congestive heart failure; however, cardiac patients can also be newborns, who require completely different care than that used in adult […]
The post Congenital Heart Defects: A Lifelong Challenge for Our Tiniest Patients 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.
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The post Virginia Beach Psychiatrist Grossly Over-booked Patients as Part of Fraud appeared first on The Coding Network.
Communicating with patients about their medical bills doesn’t have to be a lesson in patience. “But my insurance says they’ll pay for it if you change the code!” That’s probably not what the payer said, but it’s what the patient heard. Patients’ out-of-pocket expenses are at an all-time high, causing them to scrutinize their medical […]
The post 4 Tips for Discussing Medical Coding with Patients appeared first on AAPC Knowledge Center.
New documentation guidelines will change how you code and audit evaluation and management services. In response to an executive order, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced the Patients Over Paperwork initiative, which focuses on reducing administrative burdens placed on clinicians while improving care coordination, health outcomes, and patients’ ability to […]
The post Patients Over Paperwork Initiative Focuses on Reducing E/M Red Tape appeared first on AAPC Knowledge Center.
Consumers overspent $ 18.5 billion on diagnostic imaging in 2017, according to a UnitedHealth Group (UHG) research brief, released May 23. The health insurer attributes the overspending to price gouging by some providers. Echocardiograms (EKGs) in 2017, for example, cost patients anywhere between $ 210 and $ 1,830, according to the brief. The average was $ 480, but UHG […]
The post Is Your Provider Charging Patients Too Much? appeared first on AAPC Knowledge Center.
Social determinants of health (SDOH). You’ve probably been hearing that term a lot lately. Karen DeSalvo, MD, MPH, MSc, spoke on social determinants at HEALTHCON in Las Vegas (April 28 – May 1); and the American Medical Association and UnitedHealthcare recently announced a collaboration to standardize data collection on SDOH with new ICD-10-CM codes. What […]
The post Help Providers Help Patients Achieve Health Equity appeared first on AAPC Knowledge Center.
Authorities at doctor administrations merchant EmCare in Florida have advised 60,000 patients, representatives and contractual workers about a cybersecurity occurrence that may have uncovered their own data. An unapproved individual had the capacity to get to various worker email accounts that contained clinical information and statistic data, alongside driver’s permit and Social Security quantities of certain people, as indicated by an examination.
The post Florida Physician reports a HIPAA Breach that could affect over 60K patients appeared first on The Coding Network.
I am looking for clarification on coding PMH on ED patients- I am a CPC, and currently taking the accelerated COC program. While in this program part of my training is to do on the job training. I also want say my present job is to code the professional side of the ED, but during my COC training I am coding the facility side.
I personally do not code the patients PMH unless the provider mentions it in the note or if it has an influence on the patients care at the time of service. Accounts that I have coded during my training get placed on hold, reviewed sent back to me with either an ok to release or corrections needed. with that being said, the majority of the accounts that get sent back I am being asked to code the PMH and medications. I have found several pieces of documentation to further back up my claim why I don’t code the PMH and have been told; 1. " I should code what my mentor tell me" 2. "I would rather take guidance from the Coding Clinics themselves, as issued by a collaboration of CMS, AHA, and others, rather than a company that sells interpretations of the guidelines."
I am at the end of my rope and am ready to just drop out of this program and go back to my ED professional coding.
The articulars I included in my emails were from; " ICD10monitor" Erica Remer, MD FACEP, CCDS "coding Chronic Conditions" 1/2018
HCPro "Understand diagnosis coding to protect against auditor scrutiny" 2/19/2009
ICD-9-CM Coding Clinic, Third Quarter 2008 Page: 14 to 15 Effective with discharges: September 19, 2008 this one is regarding coding medication usage
I would appreciate any advice.
thanks so much.
:confused:
The jury is still out on whether “cutting the red tape” will lessen burdensome regulations that have long plagued evaluation and management services. Providers have long complained about having to enter duplicative and clinically insignificant information into the medical record to meet coding and billing requirements. Now, the Centers for Medicare & Medicaid Services (CMS) […]
The post Patients Over Paperwork Puts E/M Coding Under Greater Scrutiny appeared first on AAPC Knowledge Center.