Author Archives | deborahm

deborahm - who has written 112 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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ICD-10 2018: This Is Why Documenting Site Matters for Undescended-Testicle Coding

Tuesday, August 15, 2017

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Our initial overview of ICD-10-CM 2018 looked at specialties with a large number of changes. But there are plenty of important changes coming Oct. 1, 2017, that didn’t fit into that quick analysis. Case in point: Urology has some interesting new codes that will be important for anyone who reports services related to congenital undescended […]

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Catch Up on the Latest HCPCS 2017 Updates for Ob-Gyn

Tuesday, August 8, 2017

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In “Learn the ABCs (and Zs) of IUD Coding” we covered HCPCS codes available for the supply of the IUD. But coding is ever-changing, and there’s a new option as of July 1 for Kyleena®. Check out that new option and other HCPCS changes effective July 1 relevant to ob-gyn. Tip: Want to see all […]

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Add ICD-10-CM Accuracy to Your Repeat Pap Smear Claims

Friday, July 28, 2017

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Right about now it feels like all eyes are on ICD-10-CM 2018 (and there are plenty of changes to deal with). But we’ve got to be sure codes for our current claims are accurate, too. Today let’s get back to basics with a look at how to handle diagnosis coding for repeat Pap smears. Zero […]

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Ups and Downs, MACRA Modifiers, and E/M DGs in MPFS 2018 Proposed Rule

Tuesday, July 25, 2017

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Part 3 of our proposed rule extravaganza is about the Medicare Physician Fee Schedule (MPFS) 2018 proposed rule. (Part 1 was QPP and Part 2 was OPPS). Let’s get down to business, checking out some highlights explained in recent issues of Medicare Compliance and Reimbursement. Plusses and Minuses The proposed 2018 conversion factor is 35.99, […]

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4 Things to Watch From the OPPS 2018 Proposed Rule

Friday, July 21, 2017

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We’re back for another installment of “what does 2018 (maybe) have in store”? We just covered the QPP proposed rule, and now we’ll take a look at the 2018 hospital outpatient prospective payment system (OPPS) proposed rule. CMS expects an overall 2 percent payment increase in 2018 (except for the changes mentioned in question 3 […]

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Transition and Flexibility Are the Buzzwords for QPP 2018 Proposed Rule

Tuesday, July 18, 2017

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CMS released the proposed 2018 Quality Payment Program (QPP) rule on June 20. To sum up the 1,000+ pages, 2018 will be something of a transition year like 2017 was for QPP, which was established under MACRA. If you read through the various summaries available, you’ll see the term “flexibility” used quite often, with specialty […]

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Learn the ABCs (and Zs) of IUD Coding

Friday, June 30, 2017

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Intrauterine devices (IUDs) for birth control are fairly common, but somehow the coding for IUD-related services isn’t as clear-cut as it could be. In today’s post, get to know the codes and a common coding hurdle to watch for. Go Through All the Code Sets to Find the Codes CPT® provides these codes for IUD […]

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Don’t Let EHR Tempt You to Upcode E/M Services

Tuesday, June 27, 2017

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EHRs can assist with many aspects of E/M coding (like tracking for coding based on time), but the problem of reporting higher-level E/M codes without medical necessity is still around. A recent article in Ophthalmology Coding Alert discussed the example of a doctor who billed almost all level-four and level-five E/M codes for established patients. […]

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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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