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» The Top Questions to Ask Before You Buy Coding Data Files. A lot of the talk around TCI SuperCoder lately has been focused on our recently improved 2018 Data Files and the major financial consequences that can result from an organization’s choice of data files.
Why is this choice so important? When it comes to medical codes, data sets have to have the right information in the right format or your productivity, accuracy, and reimbursement will suffer. » Home in On the Details in 2018 Ob-gyn Coding. Most ob-gyn coders know the mantra—specificity, specificity, specificity.
If you want prompt and ethical reimbursement in 2018, though, specificity just got real. Are you up to date on the changes now in effect? Spotlight on CMS & HHS Updates to Combat Disasters. 5 Smart Ways To Use ICD-10-CM Cheat Sheets To Code Faster and Better. What are your plans for your 2018 ICD-10 charts?
Here are some helpful hints on how to make the most of those handy lists of top-used diagnosis codes. Keep Charts Within Reach at Coders’ Work Stations This one is obvious, but essential. CPT® 2018: Retrain Your Brain to Ensure Spot-On Coding for Chest and Abdomen X-Rays. Chest X-rays are common tests (understatement!)
, and providers frequently order and perform abdomen X-rays, too. If you’re one of the many medical coders who needs to know how to report those X-rays, there are seven new codes in CPT® 2018 that you won’t want to miss. Here’s the scoop. Effective Use of NCD, LCD, and NCCI Edits for Clean. Amazon. Amazon. » Will You Benefit From These MPFS Quarterly Update Changes? Keeping up with quarterly Medicare Physician Fee Schedule updates can be tough.
One reason is that sometimes the changes are implemented on one date and effective in the past. Confused? Examples can help with that. The changes below have an implementation date of Monday, Oct. 2, 2017, as part of the October quarterly MPFS update. But the effective date is Jan. 1, 2017. Keep in mind: When the effective date is in the past, you can bring changes that benefit you to your payer’s attention to get payment adjustments on claims already submitted. 20245 Global Split Gets New Look. » Are These ASCQR Resources on Your List? The Ambulatory Surgical Center Quality Reporting (ASCQR) Program affects Medicare reimbursement for ASCs.
In short, ASCs have to meet administrative, data collection, and data submission requirements to avoid a payment reduction. Here’s a look at some ASCQR resources recently listed in Outpatient Facility Coding Alert. 1. CMS ASCQR Page The CMS ASCQR page links to the 2012 OPPS/ASC final rule and 2013 IPPS rule, which offer some historical insights into the program, including initial program requirements. You’ll get an idea of future goals for the program like aligning ASCQR with the quality reporting programs for other settings and keeping the focus on measures that support “improved health care outcomes, quality, safety, efficiency, and satisfaction for patients.” 2.
Spend a while exploring these Quality Net pages to be sure you get the most out of them. 3. Administering the survey voluntarily would still be allowed. 2018 ICD-10 CM-Orthopedic-Changes & Your Practice. » Part 1: What Does the MPFS Proposed Rule Reveal About CPT® 2018? When the Medicare Physician Fee Schedule Proposed Rule comes out, it includes discussions of how to value new codes, and it’s fun to look for insights into the procedure codes that will be coming our way.
Let’s take a quick tour of what’s expected for CPT® 2018 based on what’s in the pages of the MPFS proposed rule. Note: The proposed codes mentioned, such as 32xxx, are placeholder codes like the ones AMA and CMS use to suggest where the code will be in the code set if the code is finalized. Anesthesia Five new anesthesia codes for gastrointestinal endoscopic procedures appear to be in the works, two for upper, two for lower, and one for combined. Expect deletion of 00740 (upper GI) and 00810 (lower intestine) to make room for the new codes. » 2018 ICD-10-CM Orthopedics Changes & Your Practice. » Add ICD-10-CM Accuracy to Your Repeat Pap Smear Claims. 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 In on R87.61- Subcategory. MACRA, QPP, MIPS and APMs Rules of the Game. Monthly How-To Health Information Compliance Coding Articles. Now that the HITECH Act and other provisions are there to safeguard PHI, you need a trusted resource to sidestep the tiered penalty structure for violations - or you could be slammed with big penalties, in some cases as bad as $50,000 per violation!
That’s why you need Health Information Compliance Alert on your side. And there has never been a better time to subscribe. ICD 10 Conversion - ICD 9 to ICD 10 Superbill Converter Tool. » If It’s Complicated, You Need Modifier 78. When a postsurgical complication requires a return to the operating room for a Medicare patient, following modifier 78 guidelines can save you money.
If the followup procedure was serious enough that it had to be performed in an operating room, endoscopy suite, or cardiac catheterization lab in a hospital or ambulatory surgery center, you may be able to get paid at least partially for that procedure by reporting CPT® Modifier 78 (Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period). Check Out This Scenario Say a patient underwent left total hip replacement (27130, Arthroplasty, acetabular and proximal femoral prosthetic replacement [total hip arthroplasty], with or without autograft or allograft), did well and was discharged home, but 10 days postoperatively develops severe pain and fever and returns for further care.
» Heart Disease – Number One Killer. Killing 611,105 people in the United States in 2013, heart disease claimed more lives than accidents (130,557), stroke (128,978), Alzheimer disease (84,767), diabetes (75,578), and influenza and pneumonia (56,979) combined. However, the Centers for Disease Control and Prevention’s data did show that cancer ran a close second to heart disease at 584,881 deaths in 2013. The bottom line, though: One out of four deaths in the United States in 2013 was due to heart disease. Multispecialty Coder – Multispecialty Coding Tool for Small Practices. View / download Instruction Manual with FAQs Now save time and ensure efficient workflow with the most powerful coding tools and get access to 120 articles from more than 25 coding and compliance newsletters from Eli Healthcare and TCI – all in one multispecialty coding resource!
Below are the product highlights: Pediatric Coding Alert. Get all the tools, advice, and tactics you need to understand coding nuances and keep your practice on track in your monthly Pediatric Coding Alert. Every month, this resource will bring you pediatric-specific CPT®, HCPCS, and diagnosis code updates, analysis, and expert insight along with tips, practical examples, and reader questions to help you apply the codes in simple steps. Check in each month for a new ICD-10-CM spotlight feature, offering documentation tips, highlighting key changes, and providing you with strategies to apply this new codeset properly.
Plus, Pediatric Coding Alert also offers complete coverage of 2016 CPT® changes, from new vaccine code shifts to E/M revisions and more! » Check Out 2016 CPT® Changes for Interventional Radiology, Molecular Pathology, and Pain Management. Today we present coverage of the second day of the AMA’s CPT® and RBVRS 2016 Annual Symposium in Chicago. If you missed coverage of day one, go here. Bundle Up With Interventional Radiology First up, we’ll look at guideline changes to intravascular ultrasound services (IVUS) codes. » Ring In the New Year With Review of CMS Policy Changes. We’ve already talked here a lot about CPT® changes for 2016. And in the run up to October 1, it felt like we were on ICD-10 overload 24/7. But now that 2016 is here, it’s also important to review healthcare policy updates that could affect your practice’s orthopedics billing and coding and reimbursement.
ICD-10 Coding Alert. » Time Flies—CPT® 2016 Goes Live Next Week! Five Essential Tips for Successful ICD-10... » Santa Skips Gastric Bypass, Is Discharged in Time for His December 24 Sleigh Ride. » Two Obamacare Provisions on Chopping Block in Spending Bill as “Unprecedented Demand” Forces One-Day Signup Extension. » Don’t Let Reporting Trigeminal Neuralgia Give You a Stabbing Headache! Have you been flummoxed by coding the diagnosis of trigeminal neuralgia or tic douloureaux? Let’s take the headache (pun intended) out of this task with a little background on this condition and its reporting rules. » Probe Into Two Cardiology 2016 Updates. Super Coder Special Offers - Thanksgiving. » Does Your Practice’s ICD-10-CM Clinical Documentation Need Improvement? Now that ICD-10 has been in place for almost two months, providers and practices are growing used to the changes in diagnosis coding that came with the implementation.
This is a good thing, because as reimbursement models evolve towards payment for population outcomes instead of fee for service, ICD-10’s ability to record more detailed and accurate diagnostic information on your practice’s case mix becomes increasingly important. But without accurate clinical documentation, correctly coding in ICD-10 is difficult if not impossible.
Keep Your Documentation Accurate Clinicians must continue to document completely and accurately to support the codes they report, to avoid the risk of down coding, focused medical review, and even fraud investigations. Here are some areas of guidance for providers to review to determine whether their clinical documentation requires improvement. 1. 2. In this case, reliability refers to how well the documentation backs up the chosen codes. 3. 4. 5. 6. » Experiencing ICD-10 Encounters With Turkeys for Thanksgiving Day 2015. One thing’s for sure: This year’s Thanksgiving will be one for the record books. Why? Not because of record-high sales on Black Friday, and not because the Thomas the Tank Engine balloon at the Macy’s Day Parade is bigger and bluer than ever. » Mark World Pneumonia Day With Prevention Efforts. » Promote Diabetes Awareness with World Diabetes Day. Free ICD 9 to ICD10 Conversion.
Top Challenges, Codes and Guidelines 2015. ICD10 Diagnosis Codes Lookup.