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Top Tips for Workers’ Comp and Auto Insurance Claims

26. August 2015

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Medical billing is such a simple job — you just glance at the provider’s documentation, pop some codes into the computer, and send the claim on its way, right? Ha! Of course it’s not that easy. And even for experienced coders and billers, because of the way the rules vary, workers’ comp and motor vehicle […]

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CDI and HDS Departments Join Forces to Cure ICD-10 Documentation Challenges

24. August 2015

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As ICD-10’s October 1 deadline draws closer, clinical documentation improvement (CDI) specialists are busier than ever helping providers learn ICD-10 documentation guidelines, but healthcare documentation specialists (HDSs), also called medical transcriptionists, can shoulder much of their routine workload. That was the message of Jill Devrick, MPA, and Susan Belley, M.Ed., RHIA, in their presentation at […]

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The Thrill of Victory, the Agony of … a HIPAA Breach?

17. August 2015

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Journalist Safe from HIPAA Allegations in Football Player Breach, But Hospital Isn’t Welcome to the wide world of HIPAA in sports! When the New York Giants’ star defensive end Jason Pierre-Paul had his right index finger amputated after a July 4 fireworks accident in South Florida, an ESPN reporter’s tweet of Pierre-Paul’s surgery schedule record […]

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Foam Rolling and ICD-10 Training Make Orlando the Hot Spot for CodingCon 2015

12. August 2015

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When’s the last time you trained for ICD-10 while performing self-myofascial trigger-point release with therapeutic foam rolling techniques? Never, you say? Then you need to attend CodingCon 2015 in December in Orlando, Florida! This year, CodingCon features unique combination exercise and ICD-10 training sessions, including “What’s Holding You Back? Exercise for the Spine and ICD-10.” […]

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Some Coding and Billing Tools I Can’t Live Without (But Couldn’t Imagine in My Typewriter Days)

11. August 2015

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Long, long ago, medical coders carefully handwrote ICD-9-CM codes on the facesheets of paper charts, while healthcare documentation specialists (HDSs), then called medical transcriptionists, banged away on their typewriter keyboards producing reports in carbon paper triplicate while listening to doctors’ dictation on cassette tapes. Coders pored over the discharge summaries, operative notes, H&Ps, and consults […]

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7 Productivity Improving Steps That Prove You’re the Sherlock of Your Practice — Part 1

31. July 2015

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It’s a mistake for healthcare executives to regard billers and coders as unskilled labor who deserve only low pay because these professionals are the lifeblood of the organization’s productivity, said Jayson Meyer, CEO of Synergy Billing, Daytona Beach, Fla., in a presentation at a recent meeting of Ocean Regional chapter of AHIMA in Holly Hill, […]

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What to Do When Your Index Says, ‘That Code Number is Unlisted, Sir’

28. July 2015

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Yesterday, we talked about how “unlisted” codes can be the best choice when there isn’t a more specific alternative available, especially when following spinal surgery coding guidelines. Here are some more expert tips for explaining why “unlisted” was the best choice to report on your claim, to make insurers more likely to pay without protest. […]

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Tap These Strategies for Avoiding Medical Coding Mistakes for E/M

24. July 2015

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You know that E/M coding isn’t easy, and that coders and clinicians confront many challenges daily. Here are some medical coding strategies to help avoid common E/M errors. Determine Risk Factors in Medical Decision Making Sometimes it can be hard to determine what qualifies as a risk factor in the medical decision-making portion of E/M […]

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Coding a Liposuction in ICD-10-PCS

16. July 2015

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Yesterday, we looked at ICD-10-PCS code structure with Amy Pritchett, CCS, CPC, CASCC, CEDC, CMRS. Today, we’ll continue her brief ICD-10 training to share some of her examples and tips. Finding the ICD-10-PCS Code for a Left Upper Arm Liposuction Pritchett gave the example of liposuction performed on the left upper arm. Liposuction, of course, […]

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Are You Ready for ICD-10-PCS?

15. July 2015

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We hear a lot about ICD-10-CM implementation, but what about ICD-10-PCS? Well, the good news is that if you’re a physician coder, you won’t be using ICD-10-PCS — you’ll submit claims using CPT® like always, with ICD-10-CM for diagnosis coding. But if you are an inpatient coder or clinical documentation improvement professional, you will want […]

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