Learn how margin of error and CIs affect the interpretation of results. From patient admission data to laboratory results, data is constantly collected in healthcare. Data analysis transforms this data into insights for cost reduction, risk identification, error reduction, technology [...]
Find clarity on how teaching anesthesiologists should be paid. Whoever said knowledge is power perhaps should have specified that accurate or true knowledge is power. Misinformation, or “alternative facts,” are rampant. It is difficult to believe that anyone would share [...]
Question: I’m trying to navigate situations in which a patient is a Medicare beneficiary but also has other insurance. I know this situation is called Medicare Secondary Payer (MSP). What are the different types of MSPs? Washington Subscriber Answer: You [...]
Hint: Look at your ICD-10-CM long-term drug use appendix. Whether you’re coding the long-term use of a drug targeting a specific cancer, a drug targeting a condition caused by the cancer, a drug targeting the side effects of a cancer [...]
CMS changes will enable providers to detect problems earlier, when treatment is most effective. In November, the Centers for Medicare & Medicaid Services (CMS) finalized the 2025 Medicare Physician Fee Schedule (MPFS) final rule, which went into effect January 1. [...]
Tip: Check VA financial enrollment, then evaluate billing. If you are treating patients under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and not receiving reimbursement, ensure electronic funds transfer (EFT) is properly set up [...]
Don’t forget to pay attention to 2025 HCPCS deletions and revisions. Coding infusions is perhaps the most difficult part of an oncologist coder’s job. But the best way to improve is to practice. That’s why we’ve put together this infusion [...]
Hint: Modifiers can show payers which anesthesia professional performed a service. Getting paid correctly with anesthesia modifiers may not be as easy as you think! If you’ve read the Codify articles for filing clean certified registered nurse anesthetist (CRNA) claims, [...]
Hint: ICDs treat ventricular tachycardia. Sharon Jane Oliver, CPC, CDEO, CPMA, CRC, discussed various devices cardiologists use to treat different conditions in patients such as bradycardia, tachycardia, and arrhythmias, at the 2024 Regional HEALTHCON session “Cardiology: Conditions, Procedures, and Devices.” [...]
Question: Encounter notes indicate that the patient suffered from “altitude-related sleep apnea.” Should I just report an unspecified sleep apnea code for this condition? Colorado Subscriber Answer: There actually is a code for altitude-related sleep apnea: Report G47.32 (High altitude [...]
