- Codes
- Info
-
Tools
- Topics
- Community
- See Product Video
- Free Trial
- Pricing
- Sign In
Recent articles:Click on the title to see the article summary and a link to the full article. July 17th, 2018 Attention Providers - Please Make Time to Read this Letter| Published July 17th, 2018
In an effort to show CMS is committed to changing the rules to accommodate their providers CMS released a letter to Doctors of Medicare Beneficiaries. The letter offers encouragement and a promise to reduce the burden of unnecessary rules and requirements. The letter states “President Trump has made it clear that ... Tags: Payer: CMS|Medicare Topic: Compliance July 17th, 2018 Patients Over Paperwork?! We have Great News!| Published July 17th, 2018
Spend more time with patients and less time documenting? Great Concept!
Document meaningful information? Sound good?
CMS is proposing just that! CMS released a new proposal July 12, 2018, focused on streamlining clinician billing and expanding access to high-quality care. The goal is to improve and restore the doctor-patient relationship, modernize Medicare ... Tags: Payer: CMS|Medicare Topic: Documentation Topic: TeleMedicine July 17th, 2018 CMS Proposed New E/M Codes for Podiatry| Published July 17th, 2018
According to CMS changes are coming for E/M codes. A recent proposal from CMS stated: "The E/M visit code set is outdated and needs to be revised and revalued." Since podiatry tends to furnish a lower level of E/M visits, CMS is proposing new G-codes to report E/M office/outpatient visits. The proposed ... Tags: Payer: CMS|Medicare Specl: Podiatry Topic: CPT Coding Topic: E+M Documentation and Coding Topic: ICD9v3 Coding July 17th, 2018 Understanding the Level of Preventative Services (Grades and Suggestions)| Published July 17th, 2018 It is essential for providers, clinicians, and other users to understand the importance of providing preventative services. The U.S. Preventative Services Task Force (USPSTF) has recommendations and has applied Grade Definitions as a suggested resource to imply the significance and strength of preventative services. The following definitions apply to recommendations ... Tags: Topic: Preventive Medicine July 12th, 2018 Dual Medicare-Medicaid Billing Problems| Published July 12th, 2018 It is important to keep in mind that Medicaid is run at a state level so there can be some differences when it comes to coverage. However, the rules regarding balance billing of covered services is set at the federal level. The law states (emphasis added):
A state plan must provide ... Tags: Payer: AMC|Medicaid Payer: CMS|Medicare Topic: Claims Processing Topic: Compliance Topic: Medicaid Topic: Medicare July 9th, 2018 ESRD Claims Error: Transitional Drug Adjustment Add-On Payment Adjustment| Published July 9th, 2018
Medicare sent out a news release to inform of incorrect reimbursement and correction.
"End Stage Renal Disease (ESRD) claims are incorrectly reimbursed if they:
Are eligible for Transitional Drug Adjustment Add-On Payment Adjustment and
Contain non-covered charges
After we fix the system on January 1, 2019, your Medicare Administrative Contractor will mass adjust claims ... Tags: July 9th, 2018 Documentation: Face to Face for Home Health Certification| Published July 9th, 2018
As a physician, you are responsible for providing appropriate, accurate supporting documentation of your face-to-face encounters (FTF) with your patients regarding home health care.
Analysis of the recent errors identified by the Comprehensive Error Rate Testing (CERT) Review Contractor shows a continuing increase in denials related to documentation for the FTF. The ... Tags: Specl: All Specialties Topic: Documentation Topic: HCPCS Coding Topic: Practice Management June 26th, 2018 WHO Said ICD-11 is Coming Soon| Published June 26th, 2018
Sooner or later ICD-11 will be released, and it sounds like it will be sooner than later. WHO released the news on June 18, 2018. The World Health Organization stated “ICD-11 will be presented at the World Health Assembly in May 2019 for adoption by Member States, and will come ... Tags: June 25th, 2018 Small Practices are Affected by MIPS Increased Thresholds| Published June 25th, 2018 We recently heard about a small practice that had been faithfully submitting all the required “G” codes for the Quality Payment Program (QPP) only to discover that for 2018 they are excluded from MIPS because the low volume threshold increased from $30,000 in Part B allowed charges or 100 Part ... Tags: Topic: Quality Payment Program June 25th, 2018 How Does the Physician Compare Website Affect You?| Published June 25th, 2018
The physician compare website may not be working quite the way you think it is. Not all providers will have rankings showing up for them. Physician compare lists basic information, but quality measure information was not added until this year (2018) and not all quality measures are included in the ... Tags: Payer: CMS|Medicare Topic: Practice Management Topic: Quality Payment Program June 18th, 2018 Workers Compensation Links by StateJune 15th, 2018 The Money in MIPS| Published June 15th, 2018 - Last Review/Update July 3rd, 2018 Seema Verma, Administrator of the Centers for Medicare and Medicaid Services (CMS), recently announced that 91% participated in the first year of the Quality Payment Program (QPP), barely squeaking by their goal of 90%.... Tags: Topic: Practice Management Topic: Quality Payment Program Topic: Reimbursement June 14th, 2018 Home Oxygen Therapy -- CMN for Oxygen| Published June 14th, 2018 The Certificate of Medical Necessity (CMN) for Oxygen is a required form that helps to document the medical necessity for oxygen therapy. It also documents other coverage criteria for the oxygen use. For payment on a home oxygen claim, the information in the supplier’s records or the patient’s medical record must be substantiated with the information in the CMN. Tags: Payer: CMS|Medicare Specl: Cardiology|Vascular Specl: Emergency Medicine Specl: Home Health|Hospice Specl: Internal Medicine Specl: Primary Care|Family Care Topic: Billing Topic: Coding Topic: Compliance Topic: DME Topic: Documentation Topic: HCPCS Coding Topic: Medicare Topic: Modifier Coding June 14th, 2018 Finalized Confidentiality of Alcohol and Drug Abuse Patient Records Regulations| Published June 14th, 2018
In January, the U.S. Department of Health and Human Services (HHS) issued updates to the privacy regulations regarding the confidentiality of patient information of substance use disorder patients (42 CFR Part 2). This notice included references to better alignment with HIPAA regulations, but did state that Part 2 is more protective ... Tags: Specl: Behavioral Health|Psychiatry|Psychology Topic: Compliance Topic: HIPAA June 14th, 2018 VA Expands Telehealth| Published June 14th, 2018
On May 11, 2018, the Department of Veterans Affairs (VA) released its final rule on the "Authority of VA Health Care Providers to Practice Telehealth." Effective June 11, 2018, VA providers will be able to provide telehealth services across state lines. This move will make it easier for veterans to obtain ... Tags: Payer: VA - Veterans Administration Topic: Health Care Reform June 12th, 2018 Will Medicare's Proposed Reformations Affect Your Practice?| Published June 12th, 2018 Recently, Medicare's Innovation Center released an informal Request for Information (RFI) seeking input on several different system reformation proposals. As the market moves towards more value based payment systems, innovation and new models are being sought to both reduce costs and increase quality. This article outlines the ideas presented in the ... Tags: Topic: Health Care Reform Topic: Medicaid Topic: Medicare June 11th, 2018 Inappropriate Use of Units Costs Practice Over $800,000| Published June 11th, 2018 A recent OIG enforcement action emphasizes the need to understand the proper use of units. A healthcare provider in Connecticut improperly submitted multiple units for drug screening urine tests. The proper billing of units has proven to be problematic for more than just lab tests. Is your billing of drugs & biologicals, injections and timed codes appropriate? Tags: Topic: Auditing Topic: Compliance Topic: CPT Coding Topic: HCPCS Coding Topic: Procedure Coding Topic: Supply Coding June 8th, 2018 Provider-Based Facilities and Split Billing Is Your Facility Being Reimbursed for All Work Performed?| Published June 8th, 2018 - Last Review/Update July 3rd, 2018 Are you stumped by billing guidelines for provider-based facilities? Who bills for what and why? Read on to hear how a little extra time and effort spent on researching split billing coding guidelines can greatly impact your facility, and even your budget ensuring reimbursement for all services performed... Tags: Topic: Auditing Topic: CPT Coding June 7th, 2018 Three Ways Bundled Payments Can Be a Success| Published June 7th, 2018 - Last Review/Update July 3rd, 2018
Bundled payment models continue to attract interest for their potential benefits over traditional fee-for-service payment models. With bundled payments, also known as episode-based payments or packaged pricing, a group of providers is reimbursed based on a contracted price to cover all of the care and services related to a particular ... Tags: Topic: Billing Topic: Practice Management June 7th, 2018 New on our TOPICS Page - "Preventive Medicine Coding and Billing Information"| Published June 7th, 2018 There is a lot of information available for you to utilize on our Topics pages. We have recently added a Preventative Medicine TOPICS page (under subjects), as per customers' request, for searching Preventative Codes. We're made it easy to locate services required under the Affordable Care Act for reporting preventive services. ... Tags: Topic: Preventive Medicine |
Articles by Subject:Articles by Specialty:Articles by Payer:Articles by Location: |
If you would like a specific article written on a medical coding and billing topic, please contact us.
Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Fax: 801-770-4428
Email:
Many of the following articles have been tagged with the tags shown above. These are displayed here again for historical purposes.
The following articles are published here and elsewhere on the Internet. If you would like to publish one of these articles on your website, please contact us and let us know which article you would like to publish and where you will be publishing it.
Calculators
Documentation
Education & Training