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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E&M Auditing: Defining the HPI

By | 2015, Coding and Auditing, DM in the News | No Comments
E&M Auditing: Defining the HPI By Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CMSCS | June 17, 2015 As originally published by Racmonitor.com The 20-year-old evaluation and management (E&M) documentation guidelines are full of different components and elements, all of which must be reviewed in order to ensure that services billed were appropriately documented. If you...
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The Five Most Common but Fatal Incident-to Mistakes

By | 2014, Coding and Auditing, Practice Management Tips, Practice Profits | No Comments
The Five Most Common but Fatal Incident-to Mistakes Incident-to and split/shared services allow practices that employ non-physician providers (NPP) such as physician assistants and nurse practitioners to multiply revenue and patient satisfaction - but only if you can follow the complex set of billing rules. Here are five common mistakes that cause financial problems for...
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