Author

Elizabeth

  • [addtoany]
    Separate Evaluation and Management (E/M) Services from the Rest When a provider performs an E/M service and other services including a procedure for the same patient, on the same day, you can code and bill for the procedure and the E/M service separately. You   Read more..
    Posted on 24 May, 2018
    By Elizabeth
    Learn Your Way Around 5 Common Modifiers
  • [addtoany]
    CMS Administrator Seema Verma recently announced a new initiative designed to improve EHR patient data access called MyHealthEData. Designed to improve EHR patient data access, MyHealthEData is a government-wide initiative led by the White House Office of American Innovation in conjunction with the Department of Health   Read more..
    Posted on 22 May, 2018
    By Elizabeth
    Improving EHR Patient Data Access
  • [addtoany]
    Like all CPT® codes, E/M codes are universal and used by Medicare, Medicaid, and most other payers for processing claims for a physician’s professional services. You should also use E/M service codes for billing facility services on an outpatient basis. Because evaluation and management services are   Read more..
    Posted on 17 May, 2018
    By Elizabeth
    How to Nail Down Levels of E/M Services & Secure Optimal Reimbursement
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    Your reimbursement relies entirely on accurate reporting. Someone in your office must understand the code sets, coding guidelines, and the nuances of coding. Additionally, this person must possess the ability to communicate with physicians and other clinicians about how to document a service appropriately to   Read more..
    Posted on 15 May, 2018
    By Elizabeth
    How to Choose the Right Medical Coder for the Job
  • [addtoany]
    Audit tools are essential to successfully completing an audit. Whether you utilize electronic tools or paper worksheets, you will need access to good auditing tools. Electronic audit tools are helpful because they not only assist with the process, but also aid in reporting. The pros   Read more..
    Posted on 11 May, 2018
    By Elizabeth
    7 Tools to Keep on Hand for Successful Self-Audits
  • [addtoany]
    New Medicare Card: Video for Your Waiting Room In April 2018, CMS will begin mailing new Medicare cards with new numbers—and they’re helping you inform your Medicare patients with the New Medicare Cards are coming! video. Play this one video, available from YouTube, in your waiting room. As   Read more..
    Posted on 9 May, 2018
    By Elizabeth
    5 Must-Have Tools & Services from CMS
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    New in 2018: QPP Year 2 Eligibility In QPP Year 2, eligible clinicians remain the same, and there is no change in Basic Exemption Criteria, but CMS reduces the number of providers and groups subject to the QPP by increasing the low-volume threshold. The CY 2018   Read more..
    Posted on 3 May, 2018
    By Elizabeth
    MACRA 2018: Learn What’s New in Year 2
  • [addtoany]
    As is the case with patient’s history, payers and auditors use a similar logic for establishing medical necessity when scanning the PE records for over-documentation. Reviewers may identify elements of the PE that are not consistent with the CC and may determine that services were   Read more..
    Posted on 26 Apr, 2018
    By Elizabeth
    Pull the Plug on Medical Necessity Ambiguity
  • [addtoany]
    The EMR is a dynamic document database, evolving every time a user accesses it. With today’s standard features and add-on conveniences, EMRs have the potential to save time, increase productivity, enhance efficiency, and play an important part in patient engagement. However, it is imperative that   Read more..
    Posted on 24 Apr, 2018
    By Elizabeth
    Get Up to Speed on Clinical Documentation Improvement for EMRs
  • [addtoany]
    Providers should not let the EMR code for them. If it does, the providers need to override the system and only use it as a guide. The EMR is not equipped to understand nuances of medical-decision making that only a provider could determine. Say yes   Read more..
    Posted on 19 Apr, 2018
    By Elizabeth
    10 Tips for Keeping Compliance Issues at Bay