New In 2017: Modifier 95 And Telemedicine Codes

By | 2017, Coding and Auditing, Regulatory Compliance | No Comments
New In 2017: Modifier 95 And Telemedicine Codes There’s a new modifier for telehealth services rendered to patients who are on private insurance rather than Medicare. Modifier 95 (synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system) can be appended to E/M visit codes (99201-99205 for new patients, 99211-99215 for established...
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9 Top OIG Physician Audit Targets In 2017

By | 2017, Coding and Auditing, Regulatory Compliance | No Comments
9 Top OIG Physician Audit Targets In 2017 By Grant Huang, CPC, CPMA ,Director of Content at DoctorsManagement. Next year, you’ll need to pay particular attention to your Medicare meaningful use attestation data, your providers’ Medicare credentialing, compliance with the “two-midnight” rule, and more, according to an analysis of the 2017 HHS Office of Inspector...
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Squaring Clinician And Auditor Perspectives on Documenting History

By | 2016, Coding and Auditing | No Comments
Documenting History: Squaring Clinician And Auditor Perspectives When evaluating medical record documentation to identify specific elements of history including the history of present illness (HPI) and the review of systems (ROS), auditors frequently rely on an audit tool or form to “check off” specific elements as they are identified in the record. They are then...
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Q&A: CMS Clarifies Meaningful Use Hardship Application Process

By | 2016, Coding and Auditing | No Comments
Q&A: CMS Clarifies Meaningful Use Hardship Application Process You have until March 15 to submit your application for a hardship exemption from Medicare’s EHR meaningful use payment penalties, and it’s important to understand the recently revised application process. Many practices were confused about having no obvious option on the hardship application form to choose if...
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ICD-10 Codes and More: Interview with John Burns, Certified Professional Coder

By | 2015, Coding and Auditing, DM in the News | No Comments
ICD-10 Codes and More: Interview with John Burns, Certified Professional Coder By John Burns, CPC, CPC-I, CEMC, CPMA | August 6, 2015 As originally published on Audiology.org Douglas L. Beck, AuD, speaks with Burns about Medicare, Congress, ICD-9, ICD-10, ICD-11, and more. Beck: Hi, John. I know you have many unusual and interesting credentials and training with...
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