Part 2: Applying appropriate modifiers and assigning medically necessary diagnosis codes aids claim reimbursement. Delivering quality care while ensuring effective clinical documentation and compliant medical coding is an ongoing challenge in a fast-paced emergency department (ED). This two-part series reviews best practices for optimizing coding compliance and reimbursement of ED claims. Last month, we explored […]
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Tag Archives: Practices
2 Best Practices to Improve Emergency Coding
Part 1: Educated coders and providers are crucial to claim success. Delivering quality care, while ensuring effective clinical documentation and compliant medical coding, is an ongoing challenge in a fast-paced emergency department (ED). Over the next two months, we’ll review best practices to optimize coding compliance and reimbursement of ED claims. In part 1 of […]
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Specialty Practices & MIPS
I would love to hear from other Specialty Practices on how they are meeting all of their Quality Measures and other MIPS requirements. We are a very small practice on only 2 physicians and 2 PAs. We are asking questions that are very time consuming just so we can meet the Quality Measures not to mention all of the other requirements. Our Specialty is Radiology Intervention.
Specialty Practices & MIPS
I would love to hear from other Specialty Practices on how they are meeting all of their Quality Measures and other MIPS requirements. We are a very small practice on only 2 physicians and 2 PAs. We are asking questions that are very time consuming just so we can meet the Quality Measures not to mention all of the other requirements. Our Specialty is Radiology Intervention.
OIG Report Reminds Providers to Review their Billing Practices
Recently, a reort issued by the U.S. Department of HHS, Office of Inspector General, estimates that over 60% of claims submitted to Medicare for outpatient PT fails to comply with the correct requirements. The OIG report serves as a reminder about the importance of accurate billing and compliance with Medicare requirements.
The post OIG Report Reminds Providers to Review their Billing Practices appeared first on The Coding Network.
Post-Op visits when a provider changes practices
We have a provider who performed surgery on a patient while at their previous practice. The provider has left that practice and joined a new practice. He will see the patient during the global period for the surgery. Can the provider bill an E&M visit or would they code as a post-op visit?
Notice of Privacy Practices a Must for All Patients
All healthcare providers must present to all patients, with whom there is a direct treatment relationship, a notice of privacy practices. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rule indicates the notice must be provided: Not later than the first service encounter by personal delivery of patient services, electronically or through […]
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How Small Practices Can Increase Revenue
Virtual groups will allow more clinicians to participate in MIPS to earn incentive payments. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve also […]
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Survey preparation: How self-audit practices come from QAPI
How is MACRA going to help small practices?
MACRA or quality payment program is going to impacting the healthcare industry. Can you help with in finding if it is going to help the small units?