As an HIM director, you are responsible for the integrity of your patients' records-even when your hospital shuts down certain wings of the facility or closes its doors entirely.
Managing coders is challenging enough when you work with them face to face. Manage them when they are off-site, though, and you've got a whole new set of challenges. You may rarely have the chance to shake their hand, see them smile, or read their body language in meetings. Are they productive? Are they happy? If you can't reach them, do you know what's going on?
Eight CPT® codes for multianalyte assays with algorithmic analyses (MAAA) procedures are now classified as not covered under OPPS (status indicator E), retroactive to January 1, 2013. These codes are now subject to I/OCE edit 9.
Providers setting charges based on an understanding of their costs is not a new concept, says Jugna Shah, MPH, president and founder of Nimitt Consulting. However, providers struggle with this or fail to do it correctly, and then stand to deteriorate their future payment rates since CMS relies on provider data to set payment rates not only for inpatient and outpatient services, but also for laboratory services.
