Tag Archive | "documentation"

3 Can’t-Miss Reasons to Read the Radiology CPT® Coding Guidelines

Friday, March 15, 2019

0 Comments

Supervision and interpretation, contrast, and images — these are all terms you need to know for radiology CPT® coding. The 70000 Radiology section guidelines are a good place to start for authoritative information. Helpful: If you use a paper CPT® manual, you are likely to find the Radiology section guidelines directly preceding the first 70000 […]

Continue reading...

ICD-10-CM OGs: Get Team In Sync on Coding Based on Provider’s Statement

Thursday, February 21, 2019

0 Comments

ICD-10-CM Official Guidelines state that your choice of diagnosis code is based on the provider’s diagnostic statement, but that’s not always as clear-cut as it sounds. Let’s dig in to this guideline. Work From the Official Guideline Wording The 2019 ICD-10-CM Official Guideline (OG) we’re discussing here is I.A.19: Code assignment and Clinical Criteria The […]

Continue reading...

Here’s How Medical Documentation Can Help or Hurt for Reimbursement

Thursday, January 24, 2019

0 Comments

The 2018 CERT report estimates 58 percent of Medicare improper payments were caused by insufficient documentation (and this is an ongoing trend). More than half is nothing to sneeze at, especially when you consider that those documentation problems could lead to having to repay Medicare or having to spend time working on underpayments. Here’s a […]

Continue reading...

Get the Latest on Changes to Medicare’s 2019 History Documentation Requirements

Thursday, December 20, 2018

0 Comments

We’ve been talking a lot about the 2019 Medicare Physician Fee Schedule final rule, but when there are changes to E/M rules, there can never be enough information, right? CMS recently released a response to a question that arose during a provider call about what parts of history ancillary staff or the beneficiary can document […]

Continue reading...

Clean Up Finger Fracture Coding With This S62.6- Documentation Primer

Friday, June 22, 2018

0 Comments

ICD-10-CM 2019 is swapping the term “medial phalanx” to “middle phalanx” in 10 finger fracture codes. It’s a simple change, but it’s a reminder of the various factors involved in fracture coding. To help your orthopedic coding and documentation keep up with ICD-10-CM specificity, here’s a documentation checklist to help you find the right code […]

Continue reading...

Emergency Medicine Coders: Don’t Miss These 3 Trending Areas!

Wednesday, March 28, 2018

0 Comments

There have been some hot topics in recent issues of TCI’s Emergency Department Coding & Reimbursement Alert that are just too good not to share. Here’s a quick summary with links to the articles for you lucky readers with access to the online newsletter or to Emergency Medicine Coder. 1. Streamline With This Change to […]

Continue reading...

$36.2 Billion in Improper Payments Means CMS Will Watch These Areas

Monday, February 5, 2018

0 Comments

A 90.5 percent accuracy rate for Medicare Fee-for-Service (FFS) payments may not sound too bad, but consider that the 9.5 percent improper payment rate adds up to $36.2 billion! That’s the news from the 2017 Medicare Fee-for-Service Supplemental Improper Payment Data report based on Comprehensive Error Rate Testing (CERT). Smart move: Reviewing CERT results can […]

Continue reading...