tci Part B Insider - 2010 Issue 25

In other news...

If you think coding to the highest level of specificity only applies to outpatient claims, you're way off.NGS Medicare, a payer in 20 states, recently released the results of its Comprehensive Error Rate Testing (CERT) analysis, revealing that "providers are not coding the principal diagnosis to the highest level of specificity and/or selecting the most appropriate code for the inpatient services."The peril of miscoding diagnoses in the hospital is that the facility consequently collects overpayments or underpayments for its services."Coders should review the complete medical record for the appropriate principal diagnosis, the condition known to have...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.