Find-A-Code Focus Newsletter

2015 December Items

The APR-DRG Payment System for Hospitals

December 30, 2015 - By Bonnie G. Schreck, BS, CCS, CPC, COC, CP
The All Patient Refined DRG (APR-DRG) Classification System is a payment system for hospitals commonly used throughout the United States in state public and commercial organizations for payment or quality reporting.  They are an expansion of the MS-DRG structure that includes four severity of i... Read More

Family Meetings Without The Patient Present

December 28, 2015
By: Codapedia Editor (Oct/15/2015)  Medicare does not permit a physician practice to bill for family meetings without the patient present. The physician may not bill Medicare, nor may they bill the family member. It is fairly common for the spouse or child of a patient to ask to see the physic... Read More

ICD-10-PCS: 2016 New Technology Codes

December 28, 2015
The ICD-10-PCS codes set has added new technology codes for fiscal year (FY) 2016, beginning October 1, 2015.  This section was added to identify new technologies not currently in ICD-10-PCS or to classify codes that have been requested through the New Technology Application Process.  This... Read More

Review Incident - To for Compliance

December 21, 2015 - By Aimee Wilcox, MA CST CCS-P
If your organization performs incident-to services, be sure to perform a periodic review of the rules that govern incident to and then compare them to the practices of your providers to ensure they would pass an audit.  Here are just a few of the guidelines that should be reviewed; however, for... Read More

Using proper combination codes with ICD-10

December 14, 2015 - By Aimee Wilcox, MA, CST, CCS-P
Enough time has passed since the implementation of ICD-10-CM that we are now able to identify some common errors being made in code selection, one of which is the lack of using proper combination codes. Many providers continue to report two codes when ICD-10-CM provides a single combination code. Fo... Read More

Hospital Value-Based Purchasing (VBP) Program

December 14, 2015 - By Bonnie G. Schreck, BS, CCS, CPC, COC, CPC-H, COBGC
The Affordable Care Act of 2010 established the Hospital VBP Program, whichapplies to payments beginning in FY 2013 (discharges on or after October 1, 2012) and affects payment for inpatient stays in hospitals across the country.  Under the Hospital VBP Program, Medicare makes incentive payment... Read More

Z-Codes - What are They?

December 01, 2015
Z-codes are used for the reason of the encounter instead of the V codes, they are found in Chapter 21: Factors influencing health status and contact with health services (Z00-Z99).  A corresponding procedure must accompany a Z code if a procedure is preformed. Note: The chapter speci... Read More

The Joy of Medicine - AMA wants to Restore the Joy of Medicine

December 01, 2015
The AMA is investing in making happier doctors and believes it will help them delver better care. Physicians have been put under tremendous stress with government oversights and insurance companies, medical decisions are bound to be compromised. Frustration becomes even more apparent with trying to... Read More

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