20. August 2014

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Nursing Facility Visits: Will Documentation of Your Doctor’s SNF Visits Stand Up To Close Scrutiny?

Review of nursing facility care claims data leads to astounding findings. You could find your doctor’s SNF visits under the microscope soon. E/M code use has been drawing suspicion for quite some time. Now NGS Medicare is joining the Centers

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20. August 2014

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Part B Mythbuster: Don’t Fall Victim to this Critical Care Myth

Location cuts both ways. A recent clarification on critical care services from the Centers for Medicare and Medicaid Services (CMS) should come as a major relief to your physicians as well a boost to reimbursement. Scenario: Your physician performs CPR…

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20. August 2014

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Reader Question: Know the Teaching Physician Rules

Question: A physician in our group recently started supervising a resident’s services during his inpatient rounds. How can I best report evaluation and management services provided by a teaching physician? Answer:

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20. August 2014

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Part B Mythbuster: Op Note Scrutiny Focuses on More Than Just the Title

Plus: Bust this myth about same-day E/M services. Myth: You should work twice as hard on the title of your physician’s medical record than you should on the note itself, because the title is enough to justify the codes you…

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20. August 2014

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Reader Question: Remember 93924 Includes Treadmill Testing

Question: Does the code 93924 include the charge for treadmill stress testing?

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20. August 2014

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ICD-10: Section for AICD Codes Changes in 2015, But Descriptors Remain Mostly the Same

V45.01 and V45.02 will become Z codes. Sometimes a patient whose case you’re coding has a pacemaker or automatic implantable cardiac defibrillator (AICD), but that’s not the reason the physician is treating the patient. You still need to include the…

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16. July 2014

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Reader Question: Can Multiple Small Breach Reports Trigger An Audit?

Question: If our clinic reports every small HIPAA breach throughout the year instead of waiting until the end of the year, will this trigger an audit? Answer: 

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16. July 2014

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Privacy Rule: Know How State Laws May Complicate Your Mental Health HIPAA Compliance

Don’t rely on new HHS guidance until you check your state laws first. New guidance from the Department of Health and Human Services (HHS) may help to answer your toughest mental health information-related questions under the HIPAA Privacy Rule. But…

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16. July 2014

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Reader Question: Know What ‘Split Night’ Entails

Question: I’ve been hearing the term “split-night service” lately but don’t know what it is. Can you explain it to me?  Answer:

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16. July 2014

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What Are MUEs?

Although CCI may be very familiar to you, any practice filing a claim with Medicare should also know what MUEs are and how they work. “An MUE for a HCPCS/CPT® code is the maximum units of service

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