Revenue Cycle Insider
Practice Management:
Protect Your Practice From Potential Fraud
Published on Fri Nov 01, 2024
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Other Articles of
November 2024
- Orthopedic Coding:
Make Sense of Arthroscopic Hip Labrum Surgery Coding
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Get Dx to the Proper Character for Reiter’s Block
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Incorporate These 7 Elements Into Your Compliance Program, Part 1
Find out which innovative approaches can boost compliance across your organization. CJ Wolf, MD, M.Ed., [...] - Oncology Coding:
Prepare to Be Puzzled by This Polycythemia Phlebotomy Problem
Question: Our oncology surgeon did a therapeutic phlebotomy in a patient with polycythemia. Should I use [...] - Otolaryngology Coding:
Use These 3 Codes in This Azithromycin Allergic Reaction Encounter
Question: What’s the diagnosis coding for a patient experiencing an allergic reaction (vomiting, rashes) to [...] - Orthopedic Coding:
Hip Dysplasia and OA? There Are Codes for That
Question: If a patient suffers from osteoarthritis (OA) of the hip caused by hip dysplasia, [...] - Oncology Coding:
Don’t Rise to Definitive Dx in This Elevated PSA Scenario
Question: We have a patient that had prostatectomy, and their prostate-specific antigen (PSA) levels are now [...] - Otolaryngology Coding:
Look to E/M for This Lip and Tongue Repair
Question: Our practice saw a patient who had badly bitten their tongue and lip following a [...] - Neurosurgery Coding:
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
Question: When hiring part-time or full-time staff, which tax documents do I need to use? [...] - Pulmonology Coding:
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
Question: A patient presented to our radiology clinic with complaints of shortness of breath, persistent [...] - Pulmonology Coding:
Learn How to Count Rx Management Toward MDM
Question: I have a report from a recent evaluation and management (E/M) visit with an [...] - Primary Care Coding:
Check Out This Primer for Risk Adjustment in Primary Care
Get the foundation you need in risk adjustment to optimize your documentation workflow. What is [...] - Cardiology Coding:
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
Question: Once the patient was prepped and anesthetized, my cardiologist made a small incision in [...] - Diagnostic Radiology Coding:
Get Ready for CPT® 2025 With Radiology Guideline Changes
Find out who can administer and bill for fMRI tests. While the 2025 CPT® code [...] - Urology Coding:
Language is Everything When it Comes to Catheter Coding
Question: I’m confused about the types of urinary catheters and how they are coded in HCPCS [...] - Urology Coding:
Check Out This Calculus Coding Conundrum
Question: Can you use N13.2 if a patient has both renal and ureteral stones? Florida [...] - Oncology Coding:
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
Question: How can I find information about Medicare coverage for lab and pathology procedures in [...] - Practice Management:
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
Question: I know illegibility has historically been an obstacle to good documentation. My practice uses [...] - Technology & Innovation:
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
Question: We are interested in deploying artificial intelligence (AI) in our practice. From reading the news [...]
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