Author

Elizabeth
Elizabeth works on an array of projects at TCI, researching and writing about modern reimbursement challenges. Since joining TCI in 2017, she has also covered the nuts and bolts of cybersecurity, compliance with federal laws, and how to tap into the advantages of telehealth services.

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    We’re back with Part 3 in our series on ICD-10-CM code changes, which are fast approaching implementation date. If you missed our earlier posts, be sure to read Part 1 and Part 2 to get the jumpstart you need to keep your claims on track   Read more..
    Posted on 24 Sep, 2018
    By Elizabeth
    Gear Up for 2019 ICD-10-CM Code Changes – Part 3
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    If you’re just joining our overview of ICD-10-CM code changes for 2019, you might want to back up and start at the beginning of this series. In Part 1, we address code changes that will primarily affect cardiology and emergency medicine, but these changes are   Read more..
    Posted on 18 Sep, 2018
    By Elizabeth
    Gear Up for 2019 ICD-10-CM Code Changes—Part 2
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    Be sure to stay tuned for this four-part series to get up to speed on all the coding details you need to nail down the 2019 ICD-10-CM code changes! Well folks, it’s that time of year again. October 1st is right around the corner. With new   Read more..
    Posted on 13 Sep, 2018
    By Elizabeth
    Gear Up for 2019 ICD-10-CM Code Changes
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    The Office of Inspector General (OIG) was formed in 1976 by President Gerald Ford through the Inspector General Act. Since then, the OIG has been key in fighting waste, abuse, and fraud in Medicare, Medicaid, and other Health and Human Services programs and is the   Read more..
    Posted on 11 Sep, 2018
    By Elizabeth
    Nail Down the Office of Inspector General’s (OIGs) Role
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    Tips: Keep proper documentation, adopt changes, train, retrain, and audit. If your practice is plugging along successfully, but your revenue is still in a slump, take a look at your coding situation. Improper coding, inexperienced coders, and the lack of updated training and resources are likely   Read more..
    Posted on 6 Sep, 2018
    By Elizabeth
    Focus on These 3 Key Areas to Make Way to Accurate Claims
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    Are you up to speed on the 2018 CPT and HCPCS codes for telemedicine, finalized in the Medicare Physician Fee Schedule (MPFS). Read on for an overview of key updates you don’t want to miss. HCPCS codes: G0296 (Counseling visit to discuss need for lung cancer   Read more..
    Posted on 30 Aug, 2018
    By Elizabeth
    Master the 2018 Telemedicine Codes
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    Medicare determined that a practice had been billing X-rays globally for years, when it should have only billed X-rays with a modifier 26 for the professional interpretation of the service, as the practice didn’t own the X-ray equipment. The fallout of this oversight included an   Read more..
    Posted on 23 Aug, 2018
    By Elizabeth
    How to Chart Out the Medical Audit Process
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    If you decide to participate in Merit-based Incentive Payment System (MIPS), you will earn a performance-based payment adjustment to your Medicare payment. You earn the payment adjustment based on evidence-based and practice-specific quality data. You show you provided high quality, efficient care supported by technology by   Read more..
    Posted on 21 Aug, 2018
    By Elizabeth
    Avoid Revenue Shortfalls with MIPS Know-how
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    Are you on top of CMS documentation guidelines? The following points identify CMS guidelines for correct documentation that supports and validates the claim submitted for services/procedures: The record of the encounter/episode of care should be complete and legible Documentation should include: Reason for the encounter Assessment,   Read more..
    Posted on 10 Aug, 2018
    By Elizabeth
    Conquer Common Documentation Errors Identified by CERT & RAC
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    KNOW THE BASICS Use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the day of the procedure or other service) to identify when a patient has a separate E/M service along with a procedure   Read more..
    Posted on 7 Aug, 2018
    By Elizabeth
    Separate Out When to Use Modifier 25