Learn about the changing landscape of physician documentation and its critical significance in supporting accurate reimbursement, coding, quality measures, and resource allocation.
Hamilton Lempert, MD, FACEP, CEDC, writes about the complexities of reporting and billing for certain ED services, as well as what coders should watch out for in documentation.
Healthcare covered entities continue to have trouble getting patients their medical records. Since 2019, when the Office for Civil Rights began its Right of Access initiative, the HIPAA privacy and security enforcer has settled 45 cases related to patient requests for medical records.
Niki Crawford, CCS-P, CPC, RCC, CCP-AS, CCP, QMC, describes a new addition to the Category III CPT code set with add-on code 0715T. She summarizes the procedure, reviews the associated technology, and gives coding tips and a clinical example.
After CMS reclassified homelessness from a non-complication or comorbidity to a complication or comorbidity code, organizations must ensure they are accurately documenting social determinants of health (SDoH) ICD-10-CM codes.
