Posted and filed under Coding, Compliance, Healthcare.

How ICD-10 is Like Trying to Eat an Elephant in One Bite

This past week, one of our auditors, Robert Blizzard, presented to the Central Florida Physician’s Alliance in Lakeland.  There were 7 practices represented at this particular presentation.  He was asked “ICD-10 is like trying to eat an elephant in one bite.  If you were to make 3 recommendations for practices to enact right now, what…

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Posted and filed under Coding, Healthcare.

Enlight-10-ment: July

An Overview of the Genitourinary System The genitourinary system includes the reproductive and the urinary excretion organs. These are grouped together because of their proximity to each other. The structure of the urinary tract includes the kidneys; two ureters, which are the tubes leading from the kidney to the bladder and the urethra, which is…

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Posted and filed under Coding, Compliance, Healthcare.

How to Code Transitional Care Management

Transitional Care Management (TCM) codes are used to report patients who are transitioning from inpatient hospital, observation, skilled nursing/nursing facility, or rehabilitation to the patients’ normal community settings such as their home, domiciliary, rest home or assisted living settings. The patient’s transition to a normal community setting is not the only requirement of the TCM…

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Posted and filed under Coding, Healthcare.
health revenue

Mining for Revenue: Turning 15 Cents into an HMO Dollar

Like most clinics, your office has probably decided to accept Medicare Advantage plans by now. So what is your plan of attack? Most providers are going to say that it is time to get each patient enrolled in these plans into the office for the all-important health assessment. Most office managers are going to prepare…

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Posted and filed under Coding.
ekg line

Coding for Cardiac Catheterization

Cardiac catheterization is a diagnostic test to examine the heart or coronary vessels or both. There are two sets of codes differentiated by examination for congenital and all other conditions. The corresponding “code map” demonstrates correct coding for noncongenital cardiac catheterizations. Regardless of the target disease cardiac catheterization includes: conscious sedation, introduction, roadmapping angiography, positioning…

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Posted and filed under Coding, Healthcare.
stethoscope

History of Present Illness: Severity

Severity is a statement or a rating of intensity (0-10) from the patient that indicates the degree or measurement of how bad the chief complaint is. This rating not only is documented based on 0-10 scale, but it can be captured using phrases such as: worsening, improving, and increasing. An auditor performing a medical necessity…

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Posted and filed under Coding, Healthcare.
pain management

Pain Management Specialty

The pain management specialty has seen more than its share of coding and reimbursement changes throughout the past few years. 2015 brought another round of changes for this specialty: a major revision to a commonly used coding set, reimbursement rate changes, and bundling of needle placement guidance with joint injections, to name a few.  …

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