Tag Archives | medical coding

When an E/M Code Can Be Billed with a Physical on the Same Day

Q: Can you clarify when an evaluation and management (E/M) code can be billed with a physical on the same day? A: This is always a difficult coding scenario to unravel, but there are a couple of things to keep in mind. Current procedural terminology guidelines for preventive medicine state: “If an abnormality is encountered […]

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Learning ICD-10: Documenting Type 2 Myocardial Infarction

I am in the middle of a heads-down project, but I popped my head up long enough to read the new ICD-10-CM guidelines for 2018 (thanks for the notification, Gloryanne Bryant!). I had to take a moment to comment on the Type 2 myocardial infarction (MI) guidelines. The reasons we should be documenting and coding […]

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ICD-10: Abide By These Rules When Coding Foreign Bodies

Know when to apply these secondary codes. Foreign bodies (FBs) entering through one of the three ENT-specific pathways is a relatively common occurrence. While these situations are found primarily with children presenting for service, FBs of the ear, nose, and throat don’t necessarily discriminate when it comes to age. However, when it comes to coding, […]

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Patient Safety Jeopardized by EHR Downtime, JAMIA Says

Downtime events in hospitals that shut down the functionality of the electronic health record can result in serious patient safety risks, according to a recently published study in the Journal of the American Medical Informatics Association. In fact, over the three-year analyzation period of a large health system in the Mid-Atlantic, 76 incidents were reported […]

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Feds Crack Down on Upcoding

By the time the late President Lyndon B. Johnson signed the law establishing Medicare and Medicaid in 1965, the health care community was already figuring out how to maximize its returns from these new programs designed to insure the elderly, poor, and disabled. Those proceeds, however, have been generated over the years in ways that […]

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14 Things To Know About Medical Coding

Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are 14 things to know about medical coding. 1. AAPC describes medical coding as “the transformation of healthcare diagnosis, procedures, medical services and equipment into universal […]

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ICD-10 Codes Aren’t Oppressive After All

Alexander Miller, M.D., a dermatologist in Yorba Linda, Calif., has a simple message for colleagues grappling with the new ICD-10 codes: Don’t panic! “It’s just a matter of restructuring one’s thinking,” Dr. Miller tells Dermatology Times. “It was no problem for us to handle these codes,” he says, even in his office that continues to […]

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Top 5 Tips for Combating 2017 Coding Concerns

The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code set’s influence on value-based care. Looking to next year, practices should start being proactive with these coding opportunities now to consider how the following five […]

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5 Findings From Nationwide ICD-10 Coding Contest

Central Learning’s national 2016 ICD-10 coding contest highlighted the converse relationship between coding accuracy and productivity across inpatient, ambulatory and emergency settings. Central Learning is a web-based coding assessment application, belonging to AVIANCE’s suite of health information and revenue cycle management solutions. More than 550 coders registered with Central Learning to code 1,859 cases in […]

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Careful Planning Can Reduce Vaccine Associated Losses

Vaccine administration is an important element of primary care practice, and a critical contribution to preventive care public health. But as vaccine and overhead costs continue to rise—particularly for private practices—physicians can have a difficult time aligning expenses with revenues. A decade-old paper published in Vaccine sought to estimate the expense practices face from administering […]

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How Physicians Can Improve Coding And Increase Revenue

Reimbursement for evaluation and management (EM) services is often the most challenging for primary care physicians and their billing staff. The most common EM codes are based on location, patient status, and level of service. A good understanding of the opportunities, and a review of common errors found in audits, will help your practice obtain […]

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Good, Bad Trends in ICD-10 Coding Accuracy: Early 2016 Data Revealed

A recent data set gathered from 300 coders at 50 health systems was revealing with regard to ICD-10 coding accuracy thus far following the October 2015 implementation.

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Medical Billing and Coding for Small Private Practices in the US

Medical billing and coding companies in the US are gaining popularity with their efficient services.

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Toxicity in the HIM World a Cultural Problem

Allow me to preference this by saying I love coders. Many of my best work relationships are with coders. I am a coder, and have been since 1998. Coding gave me my career path into consulting.

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ICD-10 QUICK TIPS: OB/GYN Episodes of Care and Complications

As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10. We are sharing these insights with the broader HIM Community through our bi-weekly blog series “ICD-10 Quick Tips.”

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One Vaccine Code Fits All?

Someone recently asked me an interesting question I had not thought about previously – hence the impetus to write this article. The question was “why code immunization to Z23 in ICD-10-CM?”

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