The handbook's format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The handbook is authored by Nelly Leon-Chisen, RHIA, Director of Coding and Classification at the AHA.
Fiscal year 2021 code updates, including new information on COVID-19, vaping-related disorder, history of diabetes mellitus or hypertension, immunodeficiency, cytokine release syndrome,cerebrospinal fluid leak, intracranial hypotension, neonatal cerebral infarction, and “chronic stroke”
Up-to-date guidance on coding signs and symptoms, diseases, disorders, procedures, conditions, complications of care, long-term care, and more
Reflects the Official Coding Guidelines
Over 200 chapter-based and final review exercises
Built-in workbook of case summary exercises
More than 50 four-color illustrations of anatomy, common disorders, and procedures
OIG Reviews Medicare Advantage Claims
by Wyn Staheli, Director of Research February 1st, 2018
On January 16, 2018, the OIG released a report of their findings on claims data for Medicare Advantage plans. While it appears that there were not significant issues, they did find that:
"Types of potential errors included inactive or invalid billing provider identifiers; duplicated service lines; missing required data; inconsistent dates; and beneficiary information that did not match CMS's records. Just 1 percent of MAOs submitted 51 percent of the records with potential error(s). Some of these errors may raise concerns about the legitimacy of services documented in the data, such as records that lacked a beneficiary last name or a valid identifier for the billing provider."
Consequently, the OIG is recommending that CMS begins to address these 'potential' errors and require further information from Medicare Advantage Organizations (MAOs) to evaluate the data. Providers may likely see an increase in the number of records requests from MAOs' remember it is important to respond promptly to these requests.
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Reimbursement Guides 2021 Edition
Find-A-Code's 2021 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.
Medicare
Procedure & Supply codes
Documentation
Compliance
HCC information
ICD-10-CM codes
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