May’s Coding Answer
Coding Corner Question
April’s Coding Challenge
Coding Corner Answer
April’s Coding Answer
ICD-9 Freeze and ICD-10 Code Update
Each year as a part of normal coding process, diagnostic codes are updated to reflect revised, new, and deleted codes through the CMS ICD-9-CM Coordination and Maintenance Committee. Diagnostic code changes and updates are based on information from vendors, physicians, or other health professionals that demonstrate a current code does not adequately describe a disease, sign, or symptom—or simply that the code is no longer appropriate for use.
The Dos and Don’ts of E/M Coding
Coding medical procedures and diagnoses can be a daunting task if you are not educated in this field. I am going to break down the rules for evaluation and management (E/M) coding, so take a deep breath and let’s jump in!
Coding Corner Answer
March’s Coding Answer
Coding Corner Question
March’s Coding Challenge
2011 CMS e-Prescribing Program: Will You Get Hit with Penalties?
The Medicare Improvements for Patients and Providers Act of 2008 provides for e-prescribing financial incentives in 2011 and financial penalties in 2012 and 2013. When you successfully e-prescribe and report on 25 patient encounters, you will be eligible to receive a 1% incentive of the total estimated allowed charges for professional services covered by Medicare Part B rendered in 2011. The big news, however, is the payment reductions for those who do not successfully meet e-prescribing reporting requirements that will be applied—1% in 2012 and 1.5% in 2013.
RHEUMATOLOGY PRACTICE PEARLS: Is Your Practice Ready for 5010?
If your practice electronically submits administrative transactions to verify patient insurance eligibility, file claims, or send or receive remittance either directly to insurance companies or through a clearinghouse, the transaction version for that system will have to be updated by January 1, 2012. The current version 4010 is outdated and cannot accommodate the necessary business transactions for physician practices and healthcare facilities.
PRACTICE PAGE: The ACR Takes on Insurance Companies
In response to the increasing demands of medical necessity and denials for approved drugs, the ACR is taking a large step towards protecting the rights of members when dealing with insurance companies.
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