Revenue Cycle Insider
Medicare Regulations:
Respond to CERT Requests Appropriately
Published on Fri Nov 01, 2024
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Other Articles of
November 2024
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Make Sense of Arthroscopic Hip Labrum Surgery Coding
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Incorporate These 7 Elements Into Your Compliance Program, Part 1
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Use These 3 Codes in This Azithromycin Allergic Reaction Encounter
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Hip Dysplasia and OA? There Are Codes for That
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Don’t Rise to Definitive Dx in This Elevated PSA Scenario
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Look to E/M for This Lip and Tongue Repair
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Abscess and Granuloma? There’s a Code for That
Question: If a patient suffers from an intracranial abscess and granuloma, should I report two [...] - Neurosurgery Coding:
Sweat the Details on These Meningitis Diagnoses
Question: Encounter notes indicate that a patient suffers from “meningitis due to hemo flu.” I [...] - Emergency Department Coding:
Get Your Head Right on These Diagnoses
Question: We’re having trouble getting our headache and migraine ICD-10 coding straight. Basically, it comes [...] - Diagnostic Radiology Coding:
Receive a Breakdown of the Technical Component
Question: Could you explain what the technical component is in relation to radiology services? Wyoming [...] - Cardiology Coding:
Follow Expert Guidance to Improve Your Swan-Ganz Coding
Hint: Never report 93503 with other diagnostic cardiac catheterization codes. If your physician performs Swan-Ganz [...] - Path/Lab Coding:
Let Z Codes Pave the Way for Some Lab Tests
Question: As a lab coder, we use the diagnosis assigned by the ordering physician when [...] - Pulmonology Coding:
Bolster Your Spirometry Claims With Lung Disease Dx Codes
Hint: Try to specify unspecified codes. One of the most common pulmonary function tests (PFTs) [...] - Emergency Department Coding:
Take Your Time to Nail FAST Exam Coding
Remember, a high-level ED E/M will likely occur during these encounters. When a patient presents [...] - Emergency Department Coding:
2 ED E/Ms in 1 Day? Not So Fast
Question: A patient reported to the emergency department (ED) at 7 a.m. for fever, nausea, [...] - Practice Management:
Use The Correct Tax Forms for Each Worker Category
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Analyze Acute Asthma Exacerbation Codes for Status Asthmaticus
Question: A patient presented to the emergency department (ED) with a flare up of their [...] - Diagnostic Radiology Coding:
Do You Report Sternum X-rays With 71046? Find out
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Learn How to Count Rx Management Toward MDM
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Check Out This Primer for Risk Adjustment in Primary Care
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Dial Into Heart Failure Codes
Question: If coding heart failure and the provider states that the patient has systolic heart [...] - Cardiology Coding:
Mind Catheter Placement
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Get Ready for CPT® 2025 With Radiology Guideline Changes
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Language is Everything When it Comes to Catheter Coding
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Check Out This Calculus Coding Conundrum
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Use These Keys to Unlock Breast Cancer Coding (Part 1)
Understand these core codes and how to apply them. Breast cancer coding may seem simple [...] - ICD-10-CM:
Coding Rely on Definitions for T36-T65 Codes
Question: What’s the difference between adverse effect and toxic effect? The ICD-10-CM codes list these [...] - Technology & Innovation:
Stay on Top of Your Practice’s Technical Debt
Question: Our IT team mentioned technical debt in a town hall recently. What is technical debt [...] - Path/Lab Coding:
Look for Coverage Guidance in NCDs, LCDs
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Protect Your Practice From Potential Fraud
Training your office staff and correctly billing patients is key to avoiding fraudulent claims. Edna [...] - Medicare Regulations:
Respond to CERT Requests Appropriately
Question: Our practice is currently in the middle of a Comprehensive Error Rate Testing (CERT) audit, [...] - Practice Management:
Avoid These Common Documentation Shortcuts
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Trying to Get a Handle on Costs? AI May Be the Answer
Balancing top-notch patient care while managing care costs has been a struggle. An important method [...] - Technology & Innovation:
Use ‘Nutrition Labels’ to Find Your Ideal AI Solution
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