ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong….) However, we will still need to use them when auditing notes from before 2023. This article does not apply to services performed after 1-1-2023. Question: What does it mean when it says a code requires an “interval” history? This question related to the 1995/1997 […]
Archives for March 2019
Analysis of 2018 CERT Report: Use These Findings to Educate and Audit High Risk Codes
Recorded April 25, 2019
This webinar will analyze errors for Part B payments and identify the types of services with the highest error rates and the reasons identified in the CERT report. The most common type of error is insufficient documentation, followed by incorrect coding. Some types of procedures, however, were denied for medical necessity.
Physician Specialty Codes and Claims Processing
Specialty designation is determines how claims are processed for physician and non-physician practitioners in groups It is also important in crediting data using the E/M guidelines, developed in 2021 and expanded in 2023 When physicians enroll in Medicare, they self-elect their specialty designation. In the enrollment process, there are fields to indicate primary and secondary […]
Everyday Dermatology Coding
Everyday Dermatology Coding is a 52 page guide to coding dermatology services. This in-depth coding resource covers the following topics specific to dermatology: E/M MDM table, Dermatology E/M frequency, Common Dermatology procedures, modifiers and more.