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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    If coding your colorectal cancer screening claims has you confused, our experts can help. With an increasing number of colorectal lab tests that physicians use to assess a patient for colorectal cancer (CRC), we’ve received an influx of questions from path/lab coders like you. That’s why   Read more..
    Posted on 19 Jul, 2019
    By Elizabeth
    Leverage Vital Q/A for Optimal Colorectal Cancer Screening Reporting
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    Profit from expert answers to these neurosurgery coding conundrums. Neurosurgery coding may not be as challenging as, well, brain surgery — but it’s up there! Why suffer confusion and risk your bottom line when Meagan Williford, BA, MA, CPC-A, our resident neurosurgery coding expert, can help   Read more..
    Posted on 9 Jul, 2019
    By Elizabeth
    3 Complex Neurosurgery Coding Scenarios Made Simple
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    Stop revenue loss with expert guidance to keep your otolaryngology claims in tiptop shape. If otolaryngology coding confusion has you concerned about reimbursement loss, this post is for you. Join Brett Rosenberg, MA, CPC, CCS-P, COC, editor-in-chief of TCI’s Otolaryngology Coding Alert, and Barbara J. Cobuzzi,   Read more..
    Posted on 21 Jun, 2019
    By Elizabeth
    How to Solve 3 Otolaryngology Coding Scenarios
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    Get answers to key cardiology reporting questions from cardiology coders like you — and secure full reimbursement for your services. Uncertain reporting is a wager that could result in substantial reimbursement loss for your cardiology practice. Nonetheless, it happens — a chart comes across your desk   Read more..
    Posted on 6 Jun, 2019
    By Elizabeth
    Is Coding Uncertainty Sabotaging Your Cardiology Claims?
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    As the feds scrutinize Medicare claims more closely in 2019, now is the time to update your audit policies and improve your compliance training. You’re probably aware that the Centers for Medicare and Medicaid Services (CMS) runs your Medicare claims through an automated system of algorithms   Read more..
    Posted on 22 Mar, 2019
    By Elizabeth
    Head Off Medicare Audit Risk with Strategic Self-Auditing Smarts
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    Evaluation and management (E/M) services are the bread and butter of most providers’ paychecks. Unfortunately, E/M services are also the most problematic to code, prone to errors related to level of service. If you’re struggling with a fair share of E/M claim denials, a solid understanding of   Read more..
    Posted on 23 Jan, 2019
    By Elizabeth
    Medical Necessity vs. MDM: Know the Distinction & Assign E/M Levels Correctly
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    To file claims for reimbursement to Medicare, you must be a recognized Medicare provider or supplier, meaning that you must first enroll in Medicare. CMS gives you two enrollment options: You can take the paper route and fill out and submit by mail the CMS-855   Read more..
    Posted on 30 Nov, 2018
    By Elizabeth
    Navigating Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS)
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    What Your Practice Must Know About the HIPAA Privacy & Security Rules HIPAA fails continue to populate news headlines. Fresenius Medical Care North America (FMCNA), for instance, didn’t implement HIPAA’s risk assessment and risk management requirements, which resulted in 5 HIPAA breaches. It took only a few   Read more..
    Posted on 26 Nov, 2018
    By Elizabeth
    Consider the Cost of HIPAA Noncompliance — Part 3
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    Meet the provisions of the HIPAA Privacy, Security, and Breach Notification Rules or prepare to pay the price. Ignorance of your legal obligations under HIPAA is not a justifiable excuse for failing to implement reasonable and appropriate safeguards. Covered entities have had sufficient time to establish effective   Read more..
    Posted on 6 Nov, 2018
    By Elizabeth
    Consider the Cost of HIPAA Noncompliance — Part 1
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    Backstory: Why NCCI was Started The Centers for Medicare and Medicaid Services (CMS) is the agency responsible for the implementation of the National Correct Coding Initiative (NCCI), which was developed to encourage correct coding procedures on the national level and to reduce inappropriate coding that   Read more..
    Posted on 20 Jul, 2018
    By Elizabeth
    Nip Errors in the Bud with the NCCI and MUEs