What to Know About HCC Risk Adjustment, Risk Adjustment ICD-10 and the RAF Score In fee-for-service medicine, physician services are paid based on … [Read more...]
I Want to See that in Writing | Medical Coding Source Citations
Lunch and Learn - February 2017 Coders are often asked to prove a coding rule to physicians and managers. Coding rules change, reimbursement rules … [Read more...]
How to get paid for services in medical practices: three quick videos for new clinicians and staff
An Overview of CPT Codes, HCPCS, Diagnosis Codes & ICD-10-CM This three-part series from CodingIntel is a must see for new staff and physicians, … [Read more...]
How Physician Services are Paid
Have a new staff member or physician who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the pieces … [Read more...]
Medical Billing: Avoiding the Three Deadly Sins of Compliance
What is the real risk of compliance audit from commercial payers or from Medicare? This short video addresses three specific areas of risk and offers … [Read more...]
Not billing consult codes? You are losing $$$$
An Overview of Office Consults and Medicare Consult Codes In 2010, Medicare stopped recognizing consultation codes. In their discussion, they stated … [Read more...]
Pecked by a parrot. Oh no, not again!
We’ve all had a lot of fun with the ICD-10-CM external cause codes. But, do we need to use them? The answer to that is no according to the official … [Read more...]
Prescription drug management and medical decision making (MDM)
The Documentation Guidelines identify three key components in E/M services: history, exam and medical decision making. MDM itself is divided into … [Read more...]
Skype ≠ Telemedicine
I got a call from a vendor trying to develop a video conferencing product for a physician to use to talk to a patient who is at home. He said “I’m … [Read more...]
Risky business, or tempest in a teapot: Are you an audit target?
Some days, it appears we compliance and coding folks are like the boy who cried wolf. We see shadows around every corner. We emulate Captain Kirk, … [Read more...]
Cloning: I Read the News Today, Oh Boy.
Certain medical stories are irresistible to the popular press: ICD-10 external cause codes that are ridiculous (W61.43XD, pecked by a turkey, … [Read more...]