Author Archives | deborahm

deborahm - who has written 94 posts on SuperCoder Blog.

Deborah concentrates on coding and compliance for radiology and cardiology, including the tricky world of interventional procedures, as well as oncology and hematology. Since joining The Coding Institute in 2004, she’s also covered the ins and outs of coding for orthopedics, audiology, skilled nursing facilities (SNFs), and more.

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Don’t Get Too Comfortable With That Meaningful Use Payment – Here’s Why

Tuesday, June 20, 2017

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When the title of an OIG report is about Medicare paying out hundreds of millions it shouldn’t have, that’s not great news for Medicare or the providers who got those funds. But that’s exactly what a report released June 12, 2017, says: “Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did […]

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ICD-10-CM 2018 Posted! Let the Update Games Begin

Friday, June 16, 2017

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ICD-10-CM 2018 files are up on the CMS site! Here’s a quick overview of what’s coming when the new version goes into effect Oct. 1, 2017. (Looking for PCS? Click here.) Check Changes by the Numbers Based on the files posted, it looks like we’ll be dealing with more than 700 updates: 360 additions 142 […]

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3 Things You Can Do Today to Prepare for a RAC Audit

Wednesday, June 7, 2017

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What’s the first think you think of when you hear Recovery Audit Contractor? RACs have been around for a while (and not without controversy) as part of a Medicare program to find and correct past improper payments. Even folks who don’t get nervous at the thought of an audit probably don’t look forward to the […]

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Take a Peek at 2018 ICD-10-PCS Updates

Thursday, June 1, 2017

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It’s only June of 2017, but for coders that means it’s time to start watching for 2018 updates. ICD-10-PCS files are already available for review. This inpatient coding system, which changes to the 2018 version on Oct. 1, 2017, will see 3,562 new codes and 646 deletions for a total of 78,705 codes in the […]

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Get to Know Aftercare Z Codes: Official Guidelines and Examples

Tuesday, May 30, 2017

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How many of the 15 pages on Z codes have you read in the ICD-10-CM Official Guidelines for Coding and Reporting? More than a page is devoted to aftercare visit codes in Section I.C.21.c.7. Here’s a quick refresher on what you should know about aftercare coding, including the ICD-10 twist for injury codes. The Basic […]

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MACRA’s Money Effects Depend on Providers, Study Finds

Friday, May 26, 2017

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MACRA and its shift to a value-based payment model has people in the business of healthcare talking. While most of us may be thinking about the MIPS (Merit-Based Incentive Payment System) track for the Quality Payment Program, there is another option: Alternative Payment Models (APMs). An APM offers incentive payments for high quality, cost-efficient care. […]

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Here’s What’s in Store for Medicare Advantage and Part D in 2018

Tuesday, May 23, 2017

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Check out these bullet points for highlights from the 2018 Medicare Advantage and Part D payment and policy updates posted by CMS. Medicare Advantage Medicare Advantage (MA) plans, sometimes called Medicare Part C, are private plans approved by Medicare for people enrolled in Medicare. Medicare pays a fixed amount to the MA plan company, and […]

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4 Motivators for Sticking to the Coding Straight and Narrow

Monday, May 8, 2017

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If you ever take the “throw everything out there and see what sticks” approach to coding, it’s time to rethink that strategy. Carefully choosing the wrong codes to bring in more money is no way to code either. Next time you need inspiration to steer clear of these methods, reach for these four reasons coding […]

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Are You an Anatomy Ace? This Chemo Quiz Will Tell

Thursday, May 4, 2017

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Let’s mix things up today with a little test. An article in Oncology & Hematology Coding Alert about intracavitary chemotherapy made me think about the importance of knowing anatomy when you need to pick an appropriate code. We often think about anatomy with ICD-10-CM codes, but it’s important for CPT® codes, too. That’s the inspiration […]

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Secrets to Subsequent Hospital E/M Coding Success

Tuesday, May 2, 2017

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Curious how your use of subsequent hospital visit codes compares to reporting by other practices? Palmetto was curious, too. The Part B MAC took part in developing a Comparative Billing Report (CBR) looking at 99231-99233 billing and payment patterns in 2015 for internal medicine providers. Motivation? Those codes see about a billion dollars in improper […]

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