Part B Insider (Multispecialty) Coding Alert
Case Goes To Trial Because Doctor Didn't Document Recommendation
Good documentation doesn't just get paid, it can keep you out of trouble.
Case in point: Physician Rebecca Crouch says she recommended a colonoscopy and proctoscopy for Joseph Lee Amos after he complained of pain and rectal bleeding, but he refused them. Amos claims Crouch never mentioned the words -colonoscopy- or
-cancer,- and he was later diagnosed with colon cancer, requiring surgery and permanent colostomy.
A lower court granted Crouch's motion of dismissal, because Amos couldn't prove she didn't recommend those tests. But the Louisiana Second Circuit Court of Appeal reversed this decision, saying the lack of documentation in Crouch's files that would show she recommended a colonoscopy to Amos means a jury could conclude she never made the recommendation.
Part B Insider (Multispecialty) Coding Alert
- REIMBURSEMENT:
9-Day Delay May Turn Into 12 Days
Prepare now for slow end of September
You-re already bracing for the nine days of pain [...] - STRATEGY:
Beware of Buying Equipment Before Ensuring Reimbursement
Don't let manufacturers snow you into investing in new gadgets
You-ve heard other offices rave about [...] - E/M CODING:
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If your doctor is [...] - More Tips On Handling The 9-Day Payment Freeze
Your cash flow will be hit hard in late September, when Medicare puts the brakes [...] - COMPLIANCE:
Now's The Time To Look Into Your 'Pod Labs' Arrangements
CMS may have evicted you from 'condo' laboratories
In recent years, many [...] - Case Goes To Trial Because Doctor Didn't Document Recommendation
Good documentation doesn't just get paid, it can keep you out of trouble.
Case in [...] - COMPLIANCE:
Don't Rush Into Opening A Single-Specialty Hospital
End of moratorium doesn't mean a ceasefire in war on doc-owned hospitals
You may have rejoiced [...] - Part B Coding Coach:
Revealed--The Answers to Your Top 4 TURP Coding Questions
Want to know what you can bill with your transurethral resection of prostate claims? Look [...] - Make Your TURP Code Selection A Snap With This Flow Chart
Step-by-Step instructions make TURP coding a breeze
If you-re looking for an easy way to determine [...] - PHYSICIAN NOTES:
Medically Unlikely Edits Are Back
2,800 edits target 'non-controversial' topics
A drastically unpopular set of edits is back for yet another [...]
