Strong documentation and coding support accurate data and help organizations defend against payer audits. Learn how to manage the return of CMS audits and keep documentation and coding in top shape.
CMS is moving forward for E/M changes for physician billing according to the 2021 Medicare Physician Fee Schedule. Read about those changes, as long as a preview of new CPT codes that will be added for 2021.
Finding the right applicant to fill a vacancy in the coding department can be challenging. Organizations can help close the gap and improve their coding staff by implementing an apprentice program. Use this sample education schedule to help develop a program at your organization.
Q: As utilization review case managers, we are often tasked with assessing our hospital's risk for novel coronavirus (COVID-19) denials. What are the most important measures we should be examining?
Providers may need to keep track of two different times when reporting new CPT® add-on code 99XXX for prolonged services in 2021. CMS will not follow the time ranges that the AMA released in its guidelines for office E/M visits and prolonged services, according to the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule.
Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.
Take a closer look at recent Coding Clinic information on coding COVID-19, including ICD-10-CM coding for COVID-19 antibody testing, virus signs and symptoms, and comorbidities.
In response to the novel coronavirus (COVID-19) public health emergency, CMS has expanded patient access to telehealth services, allowing beneficiaries to receive a wide range of services without having to visit a healthcare facility.
The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 antibody detection.
