Find-A-Code Focus Newsletter

2014 December Items

What NOT to Ask Candidates in a Job Interview

December 30, 2014
Conducting a job interview for potential new employees is a common occurrence, yet is often done in a manner of disorganization.  Employers are frequently asking questions that shouldn't be asked and neglecting to ask those questions that may be more essential for conducting a proper interview.... Read More

Hospital Outpatient Therapeutic Services That Have Been Evaluated for a Change in Supervision Level

December 30, 2014
Medicare requires direct supervision of all hospital outpatient therapeutic services unless CMS makes an assignment of either general or personal supervision for an individual service. CMS posted a three page list of Hospital Outpatient Therapeutic codes that were evaluated for a change in sup... Read More

Compliance Program - What are the Requirements to Implement an Effective Program

December 30, 2014
All sponsors are required to adopt and implement an effective compliance program, which must include measures to prevent, detect and correct Part C or D program noncompliance as well as FWA. The compliance program must, at a minimum, include the following core requirements:  1.... Read More

Medicare Parts C & D Fraud, Waste, and Abuse Training and General Compliance Training

December 30, 2014
All persons who provide health or administrative services to Medicare enrollees must satisfy general compliance and FWA training requirements. This module may be used to satisfy both requirements. This training module consists of two parts:  (1) Medicare Parts C & D... Read More


December 30, 2014
Medicare Quarterly Provider Compliance Newsletters are an educational tool designed to provide education on how to avoid common billing errors and other erroneous activities when dealing with the Medicare Program. It includes guidance to help health care professionals address and avoid the top issue... Read More

Coding for ICD-10-CM: More of the Basics MLN Connects Video

December 30, 2014
In this MLN Connects™ video on Coding for ICD-10-CM: More of the Basics, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) provide a basic introduction to ICD-10-CM coding. The objective of thi... Read More

NCD's and LCD's - What Are They?

December 16, 2014
What are NCDs and LCDs? NCD — NATIONAL COVERAGE DETERMINATIONS Medicare specific coverage on the national level. All Medicare carriers are required to follow the NCDs. The NCDs are developed by CMS to describe the circumstances for Medicare coverage nationwide for an item or service. NC... Read More

CMS - Final Rule to Deny or Revoke the Enrollment of Entities that Pose an Integrity Risk to Medicare

December 16, 2014
On December 3, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that will improve CMS’ ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare. This fact sheet summarizes CMS’ regulatory additi... Read More

Check out our new MS-DRG-Grouper!

December 16, 2014
Thanks to the over whelming positive feedback and support from our customers, we recently launched our new edition of our DRG-Grouper.    Same great classification and reimbursement methodologies, however we have made various cosmetic changes to the way our grouper looks and feels.... Read More

Correct Coding - MyoPro® (Myomo, Inc.) Assist Device

December 16, 2014
Joint DME MAC/PDAC Publication The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have evaluated the MyoPro® upper extremity assist device and determined that it falls within the Durable Medical Equipment (DME) benefit category. Claims for MyoPro® should be submitt... Read More

New G-Codes Released by CMS for FQHC PPS (Federally Qualified Health Centers)

December 12, 2014
Medicare has established 5 new codes for reporting FQHC (Federally Qualified Health Center) services effective Oct 01, 2014. Very specific guidelines are to be followed for proper reimbursement. G0466 — A medically-necessary, face to face encounter (one-on-one) between a new patie... Read More

Find-A-Code review by BC Advantage

December 10, 2014
I would recommend this without reservation to a new coder or student.  Although students should still become familiar with their books and coding conventions for testing purposes, this online product is the first I have seen that so closely mirrors the indexes in books. You can easily narrow yo... Read More

Social Media and Healthcare: Unprofessional Conduct and What It Can Cost

December 03, 2014
In this electronic age, Social Media has quickly become a very successful tool used for advertising/marketing, communication of various topics and reaching readers and networks beyond our wildest dreams. These networks are often leading to various opportunities or other positive occurrences that we... Read More

New: Medicare Evaluation and Management Services Guide

December 02, 2014
Find-A-Code has posted the November 2014 edition of the Medicare Evaluation and Management Services Guide.Go to  From the title page of the guide: This guide is offered as a reference tool and does not replace cont... Read More

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